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General NPI Number Information
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NPI Number | 1851819635
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Entity Type | Individual
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Provider Name | NITYA NARAYANAN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 4700 42ND AVE SW
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City | SEATTLE
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State | WA
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Zip | 98116-4591
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Country | US
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Telephone | 206-767-4851
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Fax |
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Provider Business Mailing Address
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Address Line | 3231 NE 167TH ST
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City | LAKE FOREST PARK
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State | WA
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Zip | 98155-5339
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Country | US
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Telephone | 248-205-8032
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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 | DE60756728
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License Number State | WA
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