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General NPI Number Information
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NPI Number | 1154920437
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Entity Type | Individual
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Provider Name | DALLAS FRANTZ DDS
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Gender | Male
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 3208 NE 54TH ST
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City | VANCOUVER
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State | WA
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Zip | 98663-1952
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Country | US
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Telephone | 360-693-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 10205 NE 106TH CIR
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City | VANCOUVER
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State | WA
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Zip | 98662-4244
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Country | US
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Telephone | 360-624-8578
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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 | 61024925
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License Number State | WA
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