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General NPI Number Information
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NPI Number | 1891467767
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Entity Type | Organization
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Legal Business Name | TREVOR TSUCHIKAWA IV PLLC
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 3131 SMOKEY POINT DR STE 14A
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City | ARLINGTON
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State | WA
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Zip | 98223-7707
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Country | US
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Telephone | 306-282-0803
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 SMOKEY POINT DR STE 14A
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City | ARLINGTON
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State | WA
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Zip | 98223-7707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TREVOR TSUCHIKAWA
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Credential |
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Telephone | 206-852-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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