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General NPI Number Information
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NPI Number | 1548825300
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Entity Type | Individual
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Provider Name | ADAM MICHAEL SKRYPCZAK DDS, MSD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4100 FACTORIA BLVD SE STE B
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City | BELLEVUE
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State | WA
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Zip | 98006-1262
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Country | US
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Telephone | 425-747-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 2223 E HOWE ST
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City | SEATTLE
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State | WA
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Zip | 98112-2931
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Country | US
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Telephone | 713-702-9644
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 34937
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License Number State | TX
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