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General NPI Number Information
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NPI Number | 1235958695
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Entity Type | Organization
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Legal Business Name | DW HAN PLLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 4140 FACTORIA BLVD SE STE 1A
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City | BELLEVUE
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State | WA
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Zip | 98006-5261
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Country | US
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Telephone | 425-222-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 FACTORIA BLVD SE STE 1A
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City | BELLEVUE
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State | WA
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Zip | 98006-5261
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Country | US
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Telephone | 425-222-1234
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHELSEA NUEVO
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Credential |
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Telephone | 907-301-6112
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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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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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