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General NPI Number Information
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NPI Number | 1497305627
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Entity Type | Individual
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Provider Name | ELLIE RAHMANI DDS
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 3533 172ND ST NE # B
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City | ARLINGTON
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State | WA
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Zip | 98223-8758
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Country | US
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Telephone | 360-658-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3619 173RD CT NE
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City | REDMOND
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State | WA
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Zip | 98052-5703
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Country | US
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Telephone | 832-350-3432
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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 | 0401416706
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License Number State | VA
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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 | 60994106
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License Number State | WA
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