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General NPI Number Information
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NPI Number | 1659024966
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Entity Type | Organization
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Legal Business Name | FOR WORLD WIDE SMILES
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 5122 OLYMPIC DR STE A101
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City | GIG HARBOR
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State | WA
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Zip | 98335-1768
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Country | US
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Telephone | 253-649-0181
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Fax | 253-313-5892
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Provider Business Mailing Address
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Address Line | 5122 OLYMPIC DR STE A101
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City | GIG HARBOR
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State | WA
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Zip | 98335-1768
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Country | US
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Telephone | 253-649-0181
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Fax | 253-313-5892
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. FAHARIA SHINN
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Credential |
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Telephone | 253-649-0181
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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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