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General NPI Number Information
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NPI Number | 1245504406
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Entity Type | Organization
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Legal Business Name | ERIK R. CURTIS, DDS, MS, PC
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 215 W CANFIELD AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83815-7736
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Country | US
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Telephone | 208-762-0707
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Fax | 208-635-5948
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Provider Business Mailing Address
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Address Line | 215 W CANFIELD AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83815-7736
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Country | US
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Telephone | 208-762-0707
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Fax | 208-635-5948
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | ERIK CURTIS
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Credential | DDS, MS
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Telephone | 208-772-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 66D3562
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License Number State | ID
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