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General NPI Number Information
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NPI Number | 1770948473
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Entity Type | Individual
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Provider Name | TATJANA SEMIZ DDS
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Gender | Female
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 2709 BICKFORD AVE STE A
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City | SNOHOMISH
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State | WA
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Zip | 98290-1766
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Country | US
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Telephone | 425-374-8451
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Fax |
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Provider Business Mailing Address
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Address Line | 555 KIRKLAND WAY UNIT 301
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City | KIRKLAND
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State | WA
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Zip | 98033-6237
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Country | US
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Telephone | 408-688-1561
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 65330
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License Number State | CA
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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 | 61074666
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License Number State | WA
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