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General NPI Number Information
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NPI Number | 1720431349
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Entity Type | Organization
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Legal Business Name | IEVA DABEKA DDS
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 11817 98TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-4214
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Country | US
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Telephone | 425-284-4455
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Fax | 425-284-4451
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Provider Business Mailing Address
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Address Line | 11817 98TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-4214
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Country | US
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Telephone | 425-284-4455
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Fax | 425-284-4451
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Authorized Official
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Title or Position | OWNER
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Name | DR. IEVA DABEKA
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Credential | DDS
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Telephone | 310-890-3408
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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 |
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License Number State |
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