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General NPI Number Information
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NPI Number | 1386842722
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Entity Type | Organization
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Legal Business Name | NADEEM MERCHANT DMD, PS
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3003 ISLAND CREST WAY SUITE 2
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2998
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Country | US
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Telephone | 206-232-6200
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Fax | 206-232-6428
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Provider Business Mailing Address
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Address Line | 3003 ISLAND CREST WAY SUITE 2
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2998
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Country | US
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Telephone | 206-232-6200
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Fax | 206-232-6428
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Authorized Official
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Title or Position | PRESIDENT
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Name | NADEEM MERCHANT
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Credential | DMD
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Telephone | 206-232-6200
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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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