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NPI 1043317449

NPI 1043317449 : KARL DAVID ROSE D.D.S : BATTLE GROUND, WA

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General NPI Number Information
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    NPI Number           |    1043317449
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    Entity Type          |    Individual 
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    Provider Name        |    KARL DAVID ROSE D.D.S
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    15 SW 20TH AVE. 
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    City                 |    BATTLE GROUND
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    State                |    WA
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    Zip                  |    98604
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    Country              |    US
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    Telephone            |    360-687-5665
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    Fax                  |    360-687-5053
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Provider Business Mailing Address
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    Address Line         |    PO BOX 157 
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    City                 |    BATTLE GROUND
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    State                |    WA
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    Zip                  |    98604-0157
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    Country              |    US
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    Telephone            |    360-687-5665
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    Fax                  |    360-687-5053
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    9791
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    4539
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    7107
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    5419
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    License Number State |    WA
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Taxonomy #5
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    Taxonomy Code        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    5766
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    License Number State |    WA
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Taxonomy #6
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    Taxonomy Code        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    7057
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    License Number State |    WA
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Taxonomy #7
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    Taxonomy Code        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    6008
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    License Number State |    WA
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Taxonomy #8
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    Taxonomy Code        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    2969
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    License Number State |    WA
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Taxonomy #9
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    Taxonomy Code        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    4236
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    License Number State |    WA
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