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General NPI Number Information
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NPI Number | 1710532221
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Entity Type | Individual
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Provider Name | DANIEL ANDRES ESTRADA DDS
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Gender | Male
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 735 N 185TH ST
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City | SHORELINE
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State | WA
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Zip | 98133-3901
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Country | US
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Telephone | 206-800-3069
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 N 46TH ST APT 2
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City | SEATTLE
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State | WA
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Zip | 98103-6800
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Country | US
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Telephone | 509-961-4601
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DE60981345
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE60981345
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License Number State | WA
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