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General NPI Number Information
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NPI Number | 1144876731
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Entity Type | Organization
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Legal Business Name | DAVID R. PRIMROSE, DDS PLLC
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Dates
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Enumeration Date | 08/10/2019
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Last Update Date | 08/10/2019
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Provider Practice Location Address
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Address Line | 38700 SE RIVER ST
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City | SNOQUALMIE
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State | WA
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Zip | 98065-5154
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Country | US
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Telephone | 425-888-2703
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Fax |
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Provider Business Mailing Address
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Address Line | 883 NE 2ND ST
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City | NORTH BEND
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State | WA
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Zip | 98045-5011
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Country | US
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Telephone | 206-250-5891
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. DAVID ROBERT PRIMROSE
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Credential | DDS
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Telephone | 206-250-5891
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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 |
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License Number State |
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