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General NPI Number Information
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NPI Number | 1053205898
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Entity Type | Individual
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Provider Name | JARED MEHRING DDS
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Gender | Male
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 420 N EVERGREEN RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-0973
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Country | US
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Telephone | 509-816-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 6815 N JEFFERSON ST
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City | SPOKANE
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State | WA
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Zip | 99208-4237
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Country | US
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Telephone | 509-496-3667
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 61684416
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License Number State | WA
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