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General NPI Number Information
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NPI Number | 1659578961
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Entity Type | Individual
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Provider Name | TIMAR ALEM D.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 510 19TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-4095
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Country | US
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Telephone | 206-299-1611
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Fax |
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Provider Business Mailing Address
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Address Line | 747 N. 185TH ST. SUITE 101
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City | SHORELINE
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State | WA
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Zip | 98133
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Country | US
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Telephone | 206-417-6453
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Fax | 206-417-6455
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7477
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE00007477
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 00007477
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License Number State | WA
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