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General NPI Number Information
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NPI Number | 1225768476
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Entity Type | Organization
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Legal Business Name | CRAIG DARRINGTON DDS PLLC
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Dates
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Enumeration Date | 06/11/2022
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Last Update Date | 06/11/2022
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Provider Practice Location Address
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Address Line | 2460 E 25TH ST
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7549
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Country | US
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Telephone | 208-525-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 2460 E 25TH ST
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7549
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Country | US
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Telephone | 208-525-4780
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Fax |
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Authorized Official
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Title or Position | DOCTOR / OWNER
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Name | DR. CRAIG HUNTER DARRINGTON
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Credential | DDS
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Telephone | 208-569-5680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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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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