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General NPI Number Information
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NPI Number | 1467930545
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Entity Type | Individual
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Provider Name | JONATHAN VOLLAND
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Gender | Male
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA STREET
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City | OAK HARBOR
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State | WA
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Zip | 98278-0001
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Country | US
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Telephone | 206-941-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 609 SHENANDOAH ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-2327
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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 |
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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 | 0401416230
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DE.61279080
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D012630
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License Number State | AZ
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