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General NPI Number Information
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NPI Number | 1801246277
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Entity Type | Individual
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Provider Name | ALAA YASSIN DDS, MS, MSD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 9750 NE 120TH PL STE 8
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City | KIRKLAND
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State | WA
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Zip | 98034-4207
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Country | US
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Telephone | 908-502-2223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 82536
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City | KENMORE
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State | WA
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Zip | 98028-0536
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Country | US
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Telephone | 206-317-9549
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE.60667623
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License Number State | WA
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