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General NPI Number Information
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NPI Number | 1992219166
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Entity Type | Organization
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Legal Business Name | SINGHMONTE LLC
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 11/27/2017
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Provider Practice Location Address
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Address Line | 3333 RAINIER AVE S STE E
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City | SEATTLE
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State | WA
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Zip | 98144-6816
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Country | US
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Telephone | 206-588-2692
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Fax | 206-223-0855
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Provider Business Mailing Address
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Address Line | 3333 RAINIER AVE S STE E
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City | SEATTLE
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State | WA
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Zip | 98144-6816
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Country | US
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Telephone | 206-588-2692
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Fax | 206-223-0855
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Authorized Official
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Title or Position | ASSOCIATE DENTIST
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Name | KIMANDEEP KAUR RAKED
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Credential | DDS
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Telephone | 206-430-3379
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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 | DE60674956
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License Number State | WA
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