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General NPI Number Information
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NPI Number | 1386192862
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Entity Type | Organization
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Legal Business Name | ROBERT N. NAU, DDS, LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 232 SECOND AVE N
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City | OKANOGAN
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State | WA
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Zip | 98840-1457
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Country | US
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Telephone | 509-422-4881
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Fax | 509-422-4053
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Provider Business Mailing Address
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Address Line | PO BOX 1457 232 SECOND AVE N
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City | OKANOGAN
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State | WA
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Zip | 98840-1457
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Country | US
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Telephone | 509-422-4881
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Fax | 509-422-4053
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ROSALIND LOUISE NAU
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Credential | M.M.E., NCTM
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Telephone | 509-422-4881
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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 | D 00005741
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License Number State | WA
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