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General NPI Number Information
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NPI Number | 1831563253
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Entity Type | Organization
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Legal Business Name | HOWARD JUE DDS, PLLC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 08/06/2016
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Provider Practice Location Address
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Address Line | 23713 EDMONDS WAY
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City | EDMONDS
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State | WA
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Zip | 98026-8977
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Country | US
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Telephone | 425-776-0124
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Fax |
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Provider Business Mailing Address
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Address Line | 23632 HIGHWAY 99 SUITE F 267
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City | EDMONDS
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State | WA
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Zip | 98026-9211
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Country | US
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Telephone | 425-776-0124
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. HOWARD TAK-CHUEN JUE
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Credential | D.D.S.
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Telephone | 425-776-0124
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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 | DE60074957
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License Number State | WA
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