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General NPI Number Information
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NPI Number | 1487639225
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Entity Type | Individual
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Provider Name | PRINCY S REKHI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1080 KIRKLAND AVE NE
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City | RENTON
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State | WA
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Zip | 98056-3415
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Country | US
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Telephone | 425-226-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 20705 35TH DR SE
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City | BOTHELL
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State | WA
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Zip | 98021-7022
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Country | US
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Telephone | 425-774-5511
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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 | DE00009572
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License Number State | WA
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