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General NPI Number Information
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NPI Number | 1295929180
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Entity Type | Individual
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Provider Name | PING HOR ROH
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Gender | Female
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 720 8TH AVE S STE 100
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City | SEATTLE
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State | WA
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Zip | 98104-3033
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Country | US
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Telephone | 206-788-3700
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Fax | 206-788-3706
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Provider Business Mailing Address
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Address Line | PO BOX 24911
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City | SEATTLE
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State | WA
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Zip | 98124-0911
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Country | US
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Telephone | 206-788-3600
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Fax | 206-652-5216
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH00006802
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License Number State | WA
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