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General NPI Number Information
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NPI Number | 1285260067
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Entity Type | Organization
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Legal Business Name | SONIA KIM TAKASAKI DMD PLLC
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 9730 3RD AVE NE STE 204
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City | SEATTLE
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State | WA
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Zip | 98115-2023
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Country | US
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Telephone | 206-524-5700
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Fax | 206-524-0765
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Provider Business Mailing Address
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Address Line | 9730 3RD AVE NE STE 204
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City | SEATTLE
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State | WA
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Zip | 98115-2023
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Country | US
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Telephone |
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Fax | 206-524-0765
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Authorized Official
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Title or Position | OWNER
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Name | SONIA KIM TAKASAKI
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Credential | DMD
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Telephone | 206-524-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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