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General NPI Number Information
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NPI Number | 1609169580
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Entity Type | Organization
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Legal Business Name | BILL KAWA DDS PLLC
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 3037B 30TH AVE W
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City | SEATTLE
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State | WA
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Zip | 98199-2715
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Country | US
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Telephone | 206-819-8189
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Fax |
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Provider Business Mailing Address
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Address Line | 3037B 30TH AVE W
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City | SEATTLE
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State | WA
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Zip | 98199-2715
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Country | US
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Telephone | 206-819-8189
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. BILL KAWA
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Credential | DDS
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Telephone | 206-819-8189
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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 | DE7308
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License Number State | WA
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