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General NPI Number Information
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NPI Number | 1891068151
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Entity Type | Organization
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Legal Business Name | VANDERHOEF KERR AND IANNIELLI PLLC
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 875 124TH AVE NE SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98005-6319
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Country | US
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Telephone | 425-462-0756
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Fax | 425-953-2942
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Provider Business Mailing Address
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Address Line | 875 124TH AVE NE SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98005-6319
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Country | US
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Telephone | 425-462-0756
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Fax | 425-953-2942
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER MCKAY VANDERHOEF
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Credential | DDS
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Telephone | 425-462-0756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 60035339
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License Number State | WA
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