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General NPI Number Information
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NPI Number | 1316308687
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Entity Type | Organization
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Legal Business Name | STEVEN L. PAIGE DDS & LEROY HORTON DDS, PLLC
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 4122 FACTORIA BLVD SE SUITE 301
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City | BELLEVUE
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State | WA
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Zip | 98006-4200
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Country | US
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Telephone | 425-401-5000
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Fax | 425-957-9966
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Provider Business Mailing Address
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Address Line | 4122 FACTORIA BLVD SE SUITE 301
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City | BELLEVUE
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State | WA
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Zip | 98006-4200
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Country | US
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Telephone | 425-401-5000
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Fax | 425-957-9966
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEROY DIMITRIOS HORTON III
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Credential | DDS
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Telephone | 425-401-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00011048
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License Number State | WA
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