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NPI 1235621756

NPI 1235621756 : JIULIN ZHU DDS : SNOQUALMIE, WA

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General NPI Number Information
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    NPI Number           |    1235621756
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    Entity Type          |    Individual 
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    Provider Name        |    JIULIN ZHU DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2018
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    Last Update Date     |    07/18/2022
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Provider Practice Location Address
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    Address Line         |    37624 SE FURY ST STE 200 
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    City                 |    SNOQUALMIE
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    State                |    WA
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    Zip                  |    98065-9680
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    Country              |    US
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    Telephone            |    425-292-9230
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    Fax                  |    425-292-9239
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Provider Business Mailing Address
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    Address Line         |    37624 SE FURY ST STE 200 
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    City                 |    SNOQUALMIE
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    State                |    WA
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    Zip                  |    98065-9680
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    Country              |    US
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    Telephone            |    425-292-9230
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    Fax                  |    425-292-9239
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    D10989
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    1001842-15
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    61030599
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    License Number State |    WA
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