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General NPI Number Information
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NPI Number | 1942858618
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Entity Type | Organization
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Legal Business Name | RUBECCA H SHAHID DMD PLLC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 7347 35TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-5987
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Country | US
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Telephone | 248-631-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 18627 45TH AVE SE
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City | BOTHELL
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State | WA
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Zip | 98012-7667
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Country | US
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Telephone | 248-631-6883
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUBECCA HASAN SHAHID
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Credential | DMD
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Telephone | 248-631-6883
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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 |
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License Number State |
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