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General NPI Number Information
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NPI Number | 1245308410
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Entity Type | Individual
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Provider Name | DAVID P RAGSDALE DDS
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 719 SLEATER KINNEY RD SE SUITE 130
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City | LACEY
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State | WA
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Zip | 98503
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Country | US
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Telephone | 360-455-1231
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Fax | 360-455-1233
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Provider Business Mailing Address
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Address Line | 5321 44TH ST NW
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City | GIG HARBOR
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State | WA
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Zip | 98335
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Country | US
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Telephone | 253-583-5539
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Fax | 360-455-1233
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DE00007851
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License Number State | WA
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