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General NPI Number Information
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NPI Number | 1083926778
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Entity Type | Organization
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Legal Business Name | BRYCE K DUSKIN DDS PS
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 20210 77TH AVE NE
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City | ARLINGTON
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State | WA
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Zip | 98223-4602
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Country | US
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Telephone | 360-435-2151
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Fax | 360-435-7845
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Provider Business Mailing Address
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Address Line | 20210 77TH AVE NE
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City | ARLINGTON
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State | WA
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Zip | 98223-4602
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Country | US
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Telephone | 360-435-2151
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Fax | 360-435-7845
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYCE K DUSKIN
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Credential | DDS
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Telephone | 360-435-2151
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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 | DE60099566
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License Number State | WA
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