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General NPI Number Information
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NPI Number | 1215188719
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Entity Type | Organization
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Legal Business Name | PRESSPRICH DENTISTRY
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 1470 SW KNOLL AVE STE 101
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City | BEND
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State | OR
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Zip | 97702-3154
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Country | US
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Telephone | 541-383-0093
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Fax |
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Provider Business Mailing Address
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Address Line | 1470 SW KNOLL AVE STE 101
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City | BEND
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State | OR
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Zip | 97702-3154
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Country | US
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Telephone | 541-383-0093
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. ROBERT O PRESSPRICH
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Credential | D.M.D.
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Telephone | 541-401-9863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D6298
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License Number State | OR
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