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General NPI Number Information
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NPI Number | 1306993340
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Entity Type | Individual
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Provider Name | JARED A FRANSON DMD, PC
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9300 NE VANCOUVER MALL DR STE 100
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City | VANCOUVER
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State | WA
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Zip | 98662-8205
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Country | US
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Telephone | 360-253-6375
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Fax |
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Provider Business Mailing Address
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Address Line | 14707 NW 7TH PL
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City | VANCOUVER
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State | WA
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Zip | 98685-5762
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Country | US
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Telephone | 360-573-0975
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Fax | 360-253-6437
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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 | 9636
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License Number State | WA
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