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General NPI Number Information
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NPI Number | 1285590885
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Entity Type | Organization
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Legal Business Name | YELM DENTURE SERVICES
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 806 YELM AVE E # 7
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City | YELM
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State | WA
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Zip | 98597-9424
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Country | US
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Telephone | 360-960-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 7327 5TH AVE SE
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City | OLYMPIA
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State | WA
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Zip | 98503-6706
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Country | US
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Telephone | 360-960-8006
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH B KIMMEL
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Credential | LD PLLC
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Telephone | 360-704-9070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number |
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License Number State |
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