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General NPI Number Information
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NPI Number | 1760218853
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Entity Type | Individual
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Provider Name | BITA MARAGHEHPOUR DDS, MPH, DABOP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 32114 1ST AVE S STE 104
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5760
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Country | US
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Telephone | 253-352-4493
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Fax | 866-861-6286
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Provider Business Mailing Address
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Address Line | 32114 1ST AVE S STE 104
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5760
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Country | US
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Telephone | 253-352-4493
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Fax | 866-861-6286
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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 | DENT.DE.61586366
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | DENT.DE.61586366
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License Number State | WA
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