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General NPI Number Information
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NPI Number | 1457045163
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Entity Type | Individual
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Provider Name | BRYAN FUERST DDS
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Gender | Male
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 6004 CAPITOL BLVD SE FL 1
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City | TUMWATER
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State | WA
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Zip | 98501-8520
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Country | US
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Telephone | 360-522-9070
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Fax | 360-522-9077
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Provider Business Mailing Address
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Address Line | PO BOX 34703
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City | SEATTLE
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State | WA
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Zip | 98124-1703
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Country | US
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Telephone | 253-681-6603
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DE61439731
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE61439731
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License Number State | WA
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