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NPI Code Detail

MEDICARE: CHARLENE TSOU

MEDICARE: CHARLENE TSOU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE61532424WA

General Provider Information

NPI Number : 1265130694
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE TSOU
Provider Business Mailing Address
First Line : 4722 FAUNTLEROY WAY SW STE A
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4722 FAUNTLEROY WAY SW STE A
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4667
Country : US
Telephone Number : 516-562-2296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2023
Last Update Date : 09/04/2024

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Directions to “ CHARLENE TSOU ” Practice Location

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