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General NPI Number Information
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NPI Number | 1477640886
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WASHINGTON
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-685-8258
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 NE PACIFIC ST P.O. BOX 357131
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-685-2276
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DEAN, CLINICAL SERVICES
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Name | DR. ROBERT O'NEAL
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Credential | DDS, MSD
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Telephone | 206-616-8794
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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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