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General NPI Number Information
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NPI Number | 1982946919
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Entity Type | Organization
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Legal Business Name | NOZOMI YAMATE DMD, PLLC
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Dates
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Enumeration Date | 03/16/2013
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 6115 NE 114TH AVE STE 113
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City | VANCOUVER
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State | WA
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Zip | 98662-6350
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Country | US
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Telephone | 360-256-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 6115 NE 114TH AVE STE 113
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City | VANCOUVER
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State | WA
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Zip | 98662-6350
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Country | US
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Telephone | 360-256-1333
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NOZOMI YAMATE
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Credential |
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Telephone | 360-256-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 60032064
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License Number State | WA
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