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General NPI Number Information
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NPI Number | 1194311506
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Entity Type | Organization
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Legal Business Name | SHYUE & WU, DDS, PLLC
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Dates
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Enumeration Date | 12/19/2020
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Last Update Date | 12/19/2020
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Provider Practice Location Address
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Address Line | 7719 CENTER BLVD SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-8930
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Country | US
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Telephone | 425-396-5555
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Fax | 425-396-5022
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Provider Business Mailing Address
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Address Line | 7719 CENTER BLVD SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-8930
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Country | US
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Telephone | 425-396-5555
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Fax | 425-396-5022
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Authorized Official
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Title or Position | CO-OWNER/DENTIST
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Name | CHRISTINE WU
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Credential |
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Telephone | 425-396-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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