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General NPI Number Information
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NPI Number | 1164234845
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Entity Type | Organization
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Legal Business Name | ALAN D. ERICKSON, D.D.S., P.S.
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 15955 85 NE ST
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City | REDMOND
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State | WA
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Zip | 98052-3550
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Country | US
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Telephone | 360-322-6934
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Fax |
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Provider Business Mailing Address
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Address Line | 16410 SMOKEY POINT BLVD STE 107
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City | ARLINGTON
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State | WA
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Zip | 98223-8415
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Country | US
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Telephone | 360-322-6934
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAN D ERICKSON
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Credential |
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Telephone | 425-330-9959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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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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