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General NPI Number Information
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NPI Number | 1407704331
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Entity Type | Organization
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Legal Business Name | DOW FAMILY DENTISTRY PC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 1455 18TH ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3425
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Country | US
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Telephone | 541-726-9644
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Fax | 937-398-0629
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Provider Business Mailing Address
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Address Line | 1455 18TH ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3425
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Country | US
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Telephone | 541-726-9644
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Fax | 937-398-0629
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RHONDA HARP
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Credential |
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Telephone | 541-726-9644
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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 |
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License Number State |
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