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General NPI Number Information
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NPI Number | 1366991507
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Entity Type | Organization
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Legal Business Name | PHAM T HUYNH V HUYNH PLLC
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17694 1ST AVE S SUITE B
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City | BURIEN
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State | WA
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Zip | 98148
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Country | US
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Telephone | 206-767-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 17694 1ST AVE S SUITE B
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City | BURIEN
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State | WA
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Zip | 98148
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Country | US
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Telephone | 206-767-7777
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Fax | 206-767-6789
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Authorized Official
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Title or Position | DENTIST
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Name | THOMAS D PHAM
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Credential | D.M.D.
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Telephone | 206-767-7777
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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