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General NPI Number Information
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NPI Number | 1659313013
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Entity Type | Individual
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Provider Name | EMILY DONNA PRIEBE RDH
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1534 BROADWAY
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City | SEATTLE
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State | WA
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Zip | 98122-3811
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Country | US
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Telephone | 206-323-7727
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Fax | 206-323-0733
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Provider Business Mailing Address
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Address Line | 4220 8TH AVE NE #201
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City | SEATTLE
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State | WA
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Zip | 98105-6924
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Country | US
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Telephone | 206-633-6312
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | HL00007461
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License Number State | WA
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