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General NPI Number Information
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NPI Number | 1942509724
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Entity Type | Individual
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Provider Name | DENSEY MATTHEW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2011
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 805 164TH STREET SE SUITE 100
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City | MILL CREEK
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State | WA
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Zip | 98012
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Country | US
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Telephone | 425-354-4296
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Fax | 425-332-3495
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Provider Business Mailing Address
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Address Line | 805 164TH STREET SE SUITE 100
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City | MILL CREEK
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State | WA
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Zip | 98012
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Country | US
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Telephone | 405-271-4700
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 04-37283
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34323
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD61344550
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License Number State | WA
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