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General NPI Number Information
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NPI Number | 1861725244
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Entity Type | Organization
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Legal Business Name | MICHAEL L BILIKAS DDS, PS
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 200 LAKE WASHINGTON BLVD
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City | SEATTLE
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State | WA
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Zip | 98122-6591
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Country | US
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Telephone | 206-322-8862
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Fax | 206-267-0866
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Provider Business Mailing Address
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Address Line | 8811 BRIDGEPORT WAY SW
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City | LAKEWOOD
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State | WA
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Zip | 98499-2645
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Country | US
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Telephone | 253-584-3501
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Fax | 253-584-3501
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL BILIKAS
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Credential | DDS
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Telephone | 206-322-8862
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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 | DE00010487
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License Number State | WA
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