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General NPI Number Information
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NPI Number | 1871433425
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Entity Type | Organization
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Legal Business Name | JIYEONG OH, PLLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 16418 7TH PL W STE D
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City | LYNNWOOD
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State | WA
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Zip | 98037
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Country | US
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Telephone | 425-329-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 16418 7TH PL W STE D
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City | LYNNWOOD
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State | WA
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Zip | 98037
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Country | US
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Telephone | 206-887-3495
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIYEONG OH
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Credential |
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Telephone | 206-887-3495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number |
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License Number State |
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