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General NPI Number Information
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NPI Number | 1215748033
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Entity Type | Organization
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Legal Business Name | STRONG FAMILY DENTISTRY OF CLATSKANIE
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 301 SW BELAIR DR
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City | CLATSKANIE
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State | OR
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Zip | 97016-7414
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Country | US
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Telephone | 503-728-2137
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 899
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City | CLATSKANIE
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State | OR
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Zip | 97016-0899
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRAD N STRONG
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Credential |
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Telephone | 801-960-5872
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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 |
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License Number State |
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