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General NPI Number Information
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NPI Number | 1457799728
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Entity Type | Individual
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Provider Name | PAMELA AISSA LLOREN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2021 NW MYHRE PL STE 200
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City | SILVERDALE
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State | WA
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Zip | 98383-8562
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Country | US
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Telephone | 360-779-7414
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Fax |
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Provider Business Mailing Address
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Address Line | 8439 34TH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98126-3757
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Country | US
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Telephone | 956-655-8866
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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 | 29028
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DR60371551
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DE60482650
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License Number State | WA
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