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General NPI Number Information
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NPI Number | 1215613773
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Entity Type | Individual
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Provider Name | CHRISTINE LUI
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Gender | Female
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 31515 PETE VON REICHBAUER WAY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5599
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Country | US
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Telephone | 253-444-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 3046 17TH AVE W APT 606
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City | SEATTLE
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State | WA
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Zip | 98119-2298
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Country | US
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Telephone | 763-331-1524
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DENT.DE.70013950
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License Number State | WA
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