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General NPI Number Information
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NPI Number | 1659544781
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Entity Type | Individual
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Provider Name | JAMES WESLEY MENZIES D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 6044 MARTIN LUTHER KING JR WAY S SUITE101
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City | SEATTLE
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State | WA
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Zip | 98118-3179
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Country | US
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Telephone | 206-760-9571
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Fax |
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Provider Business Mailing Address
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Address Line | 16320 70TH PL W
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City | EDMONDS
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State | WA
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Zip | 98026-4901
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Country | US
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Telephone | 425-743-5649
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00003291
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License Number State | WA
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