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General NPI Number Information
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NPI Number | 1962361535
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Entity Type | Organization
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Legal Business Name | ANUSHA R ETIKALA BDS MS PLLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2611 NE 125TH ST STE 236
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City | SEATTLE
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State | WA
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Zip | 98125-4357
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Country | US
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Telephone | 206-365-5880
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Fax | 206-365-6412
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Provider Business Mailing Address
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Address Line | 2611 NE 125TH ST STE 236
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City | SEATTLE
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State | WA
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Zip | 98125-4357
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Country | US
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Telephone | 206-365-5880
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Fax | 206-365-6412
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. ANUSHA R ETIKALA
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Credential | BDS, MS
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Telephone | 206-365-5880
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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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