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General NPI Number Information
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NPI Number | 1255490470
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Entity Type | Individual
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Provider Name | JENNIFER ANNE VOKE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 315 LINCOLN AVE STE D
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City | MUKILTEO
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State | WA
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Zip | 98275-1571
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Country | US
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Telephone | 425-212-9334
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Fax | 425-212-9795
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Provider Business Mailing Address
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Address Line | 315 LINCOLN AVE STE D
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City | MUKILTEO
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State | WA
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Zip | 98275-1571
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Country | US
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Telephone | 425-212-9334
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Fax | 425-212-9795
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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 | 1190
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License Number State | AK
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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 | DE60085485
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 58065
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License Number State | CA
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