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General NPI Number Information
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NPI Number | 1982302162
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Entity Type | Individual
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Provider Name | LUCIA LIAN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2023
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Last Update Date | 07/02/2023
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Provider Practice Location Address
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Address Line | UW DEPARTMENT OF ORAL SURGERY 1959 NE PACIFIC ST
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-543-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 46 LEXINGTON GDNS
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3473
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Country | US
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Telephone | 203-752-6933
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DR61425108
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License Number State | WA
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