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General NPI Number Information
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NPI Number | 1093255457
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Entity Type | Individual
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Provider Name | IAIN HART DMD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 102-6545 PORTSMOUTH ROAD
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City | NANAIMO
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State | BC
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Zip | V9V 1A3
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Country | CA
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Telephone | 250-824-1724
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Fax |
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Provider Business Mailing Address
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Address Line | 5059 LAKESHORE RD
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City | KELOWNA
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State | BC
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Zip | V1W 4H9
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Country | CA
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Telephone |
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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 | DR60753106
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License Number State | WA
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