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General NPI Number Information
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NPI Number | 1710767967
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Entity Type | Organization
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Legal Business Name | KAZ KITAGAITO DMD MSD MSE PLLC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/14/2023
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Provider Practice Location Address
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Address Line | 13110 NE 85TH ST STE 106-B
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City | KIRKLAND
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State | WA
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Zip | 98033-8002
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Country | US
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Telephone | 425-300-6399
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Fax | 425-300-6398
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Provider Business Mailing Address
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Address Line | 13110 NE 85TH ST STE 106-B
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City | KIRKLAND
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State | WA
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Zip | 98033-8002
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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 | ORTHODONTIST/OWNER
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Name | KAZ KITAGAITO
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Credential | DMD, MSD, MSE
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Telephone | 425-300-6395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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