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General NPI Number Information
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NPI Number | 1306768304
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Entity Type | Individual
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Provider Name | VASYL TKACHYK DDS
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Gender | Male
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 918 SE 164TH AVE STE 200
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City | VANCOUVER
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State | WA
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Zip | 98683-9603
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Country | US
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Telephone | 360-260-1005
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Fax |
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Provider Business Mailing Address
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Address Line | 16516 SE MILL PLAIN BLVD APT 331
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City | VANCOUVER
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State | WA
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Zip | 98684-9605
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Country | US
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Telephone | 323-820-7233
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DENT.DE.70142714
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License Number State | WA
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