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General NPI Number Information
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NPI Number | 1659800993
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Entity Type | Individual
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Provider Name | SNEHA YERRA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 9529 244TH ST SW
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City | EDMONDS
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State | WA
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Zip | 98020-6527
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Country | US
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Telephone | 206-542-7557
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Fax |
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Provider Business Mailing Address
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Address Line | 120 WESTLAKE AVE N APT 301
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City | SEATTLE
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State | WA
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Zip | 98109-5243
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10697
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License Number State | NC
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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 | 60945488
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License Number State | WA
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