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General NPI Number Information
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NPI Number | 1205011483
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Entity Type | Organization
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Legal Business Name | DAVID B. FORD, DDS, PS
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 601 S CARR RD STE 400
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City | RENTON
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State | WA
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Zip | 98055-5854
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Country | US
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Telephone | 425-277-0125
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S CARR RD STE 400
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City | RENTON
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State | WA
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Zip | 98055-5854
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Country | US
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Telephone | 425-277-0125
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID BRINTON FORD
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Credential | DDS
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Telephone | 425-277-0125
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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 | WA10034
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License Number State | WA
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