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General NPI Number Information
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NPI Number | 1285056796
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Entity Type | Organization
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Legal Business Name | SCOTT BIBBENS, DMD, PLLC
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 211 N WHITMAN WAY
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City | WENATCHEE
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State | WA
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Zip | 98801-2192
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Country | US
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Telephone | 509-663-5722
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Fax | 509-663-1402
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Provider Business Mailing Address
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Address Line | 211 N WHITMAN WAY
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City | WENATCHEE
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State | WA
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Zip | 98801-2192
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Country | US
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Telephone | 509-663-5722
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Fax | 509-663-1402
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT BIBBENS
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Credential | DMD
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Telephone | 509-663-5722
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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 | DE00010100
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License Number State | WA
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