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General NPI Number Information
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NPI Number | 1316457419
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Entity Type | Individual
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Provider Name | NARUTHORN TANAIUTCHAWOOT DDS, MDS
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Gender | Female
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 17215 SMOKEY POINT DR
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City | ARLINGTON
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State | WA
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Zip | 98223-8798
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Country | US
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Telephone | 360-651-9828
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Fax |
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Provider Business Mailing Address
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Address Line | 12715 12TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-4012
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Country | US
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Telephone | 814-441-3624
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60728139
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License Number State | WA
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