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General NPI Number Information
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NPI Number | 1386599652
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Entity Type | Organization
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Legal Business Name | TD SHERWOOD GPS LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 21332 SW LANGER FARMS PKWY STE 126
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City | SHERWOOD
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State | OR
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Zip | 97140-9138
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Country | US
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Telephone | 503-822-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 21332 SW LANGER FARMS PKWY STE 126
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City | SHERWOOD
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State | OR
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Zip | 97140-9138
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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
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Name | HUNTER SMITH
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Credential | DDS
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Telephone | 503-822-0108
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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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