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General NPI Number Information
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NPI Number | 1407772114
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Entity Type | Organization
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Legal Business Name | KEVIN S CLIVE DDS PLLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 246 DIVISION ST
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City | LEAVENWORTH
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State | WA
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Zip | 98826-1426
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Country | US
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Telephone | 509-293-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 ASHLEY BROOKE
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City | WENATCHEE
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State | WA
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Zip | 98801-1358
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Country | US
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Telephone | 509-293-3441
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | KEVIN CLIVE
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Credential | DDS
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Telephone | 509-293-3441
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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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