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General NPI Number Information
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NPI Number | 1053867986
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Entity Type | Organization
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Legal Business Name | JASON L HILDE DDS PLLC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 120 E GEORGE HOPPER RD SUITE 210
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City | BURLINGTON
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State | WA
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Zip | 98233-3125
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Country | US
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Telephone | 360-707-5353
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Fax | 360-707-5343
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Provider Business Mailing Address
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Address Line | 120 E GEORGE HOPPER RD SUITE 210
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City | BURLINGTON
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State | WA
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Zip | 98233-3125
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Country | US
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Telephone | 360-707-5353
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Fax | 360-707-5343
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASON L HILDE
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Credential | DDS
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Telephone | 360-707-5353
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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 | DE00008441
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License Number State | WA
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