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General NPI Number Information
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NPI Number | 1417825845
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Entity Type | Organization
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Legal Business Name | ONESMILE NW HOLDINGS, PLLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 22500 SE 64TH PL # G120
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City | ISSAQUAH
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State | WA
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Zip | 98027-8111
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Country | US
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Telephone | 425-669-9495
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Fax | 425-242-3300
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Provider Business Mailing Address
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Address Line | 22500 SE 64TH PL # G120
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City | ISSAQUAH
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State | WA
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Zip | 98027-8111
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Country | US
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Telephone | 425-669-9495
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Fax | 425-242-3300
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Authorized Official
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Title or Position | OWNER
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Name | DR. ILYA MILOSLAVSKIY
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Credential | DDS
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Telephone | 917-658-4575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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