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General NPI Number Information
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NPI Number | 1265018493
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Entity Type | Organization
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Legal Business Name | RICHINS & WEINSTEIN PLLC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 1524
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City | SEATTLE
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State | WA
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Zip | 98101-1749
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Country | US
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Telephone | 206-223-1501
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Fax | 206-223-1554
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Provider Business Mailing Address
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Address Line | 509 OLIVE WAY STE 1524
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City | SEATTLE
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State | WA
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Zip | 98101-1749
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Country | US
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Telephone | 206-223-1501
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Fax | 206-223-1554
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. BRADLEY F WEINSTEIN
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Credential | DMD
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Telephone | 857-544-2281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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