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General NPI Number Information
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NPI Number | 1194533117
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Entity Type | Organization
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Legal Business Name | SHAWN P PLATT DMD PLLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1300 ESTHER ST STE 101
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City | VANCOUVER
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State | WA
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Zip | 98660-2890
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Country | US
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Telephone | 360-693-4701
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 ESTHER ST STE 101
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City | VANCOUVER
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State | WA
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Zip | 98660-2890
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Country | US
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Telephone | 360-693-4701
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAWN P PLATT
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Credential | DMD
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Telephone | 360-693-4701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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