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General NPI Number Information
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NPI Number | 1457711772
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Entity Type | Organization
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Legal Business Name | JONATHON EINOWSKI DDS PLLC
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 720 S 320TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5254
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Country | US
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Telephone | 253-839-5953
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Fax |
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Provider Business Mailing Address
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Address Line | 720 S 320TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5254
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Country | US
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Telephone | 253-839-5953
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. JONATHON EINOWSKI
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Credential | DDS
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Telephone | 530-400-9343
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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 | 60489982
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License Number State | WA
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