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General NPI Number Information
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NPI Number | 1194434233
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Entity Type | Organization
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Legal Business Name | MATTHEW GIFFORD DDS PC
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 601 O AVE
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City | ANACORTES
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State | WA
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Zip | 98221-1753
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Country | US
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Telephone | 360-293-8737
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Fax | 360-588-8097
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Provider Business Mailing Address
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Address Line | 601 O AVE
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City | ANACORTES
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State | WA
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Zip | 98221-1753
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Country | US
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Telephone | 360-293-8737
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Fax | 360-588-8097
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NICKOLE WRIGHT
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Credential |
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Telephone | 360-293-8737
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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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