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General NPI Number Information
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NPI Number | 1255701033
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Entity Type | Organization
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Legal Business Name | MCLAUGHLIN - STONEBRAKER PLLC
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 7530 164TH AVE NE #A-130
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City | REDMOND
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State | WA
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Zip | 98052-7808
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Country | US
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Telephone | 425-885-0008
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Fax | 425-885-5093
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Provider Business Mailing Address
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Address Line | 7530 164TH AVE NE STE A130
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City | REDMOND
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State | WA
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Zip | 98052-7837
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Country | US
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Telephone | 425-885-0008
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Fax | 425-885-5093
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JODI MILHOLLAND
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Credential |
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Telephone | 425-885-0008
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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 |
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License Number State |
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