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General NPI Number Information
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NPI Number | 1366382160
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Entity Type | Organization
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Legal Business Name | RAINIER VIEW DENTISTRY
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 121 MASHELL AVE S
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City | EATONVILLE
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State | WA
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Zip | 98328
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Country | US
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Telephone | 360-832-6102
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | EATONVILLE
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State | WA
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Zip | 98328-0307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MR. ERIC HANSON
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Credential |
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Telephone | 360-832-6102
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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 |
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License Number State |
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