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General NPI Number Information
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NPI Number | 1609715556
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Entity Type | Organization
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Legal Business Name | JAMES E TELLOIAN DDS
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1930 BLACK LAKE BLVD SW
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City | OLYMPIA
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State | WA
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Zip | 98512-5651
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Country | US
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Telephone | 360-352-0847
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 BLACK LAKE BLVD SW
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City | OLYMPIA
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State | WA
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Zip | 98512-5651
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Country | US
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Telephone | 360-352-0847
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Fax | 360-352-2089
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | JAMES EMERSON TELLOIAN
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Credential | DDS
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Telephone | 360-352-0847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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