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General NPI Number Information
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NPI Number | 1942470059
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Entity Type | Individual
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Provider Name | PURVA SUHAS MERCHANT B.D.S., M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 12/04/2016
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Provider Practice Location Address
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Address Line | 945 ELLIOTT AVE W SUITE #101
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City | SEATTLE
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State | WA
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Zip | 98119-3645
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Country | US
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Telephone | 206-743-8660
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Fax | 206-743-8766
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Provider Business Mailing Address
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Address Line | 2612 32ND AVE W WA
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City | SEATTLE
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State | WA
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Zip | 98199-3222
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Country | US
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Telephone | 425-246-4658
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DE00010876
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License Number State | WA
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