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General NPI Number Information
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NPI Number | 1245948231
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Entity Type | Individual
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Provider Name | COLLEEN TEE
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 7311 NE 141ST ST STE 2
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City | KIRKLAND
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State | WA
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Zip | 98034-9703
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Country | US
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Telephone | 425-823-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 134TH AVE SE APT 35
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City | BELLEVUE
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State | WA
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Zip | 98005-8062
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Country | US
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Telephone | 425-223-8499
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE61305176
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License Number State | WA
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