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General NPI Number Information
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NPI Number | 1508033630
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Entity Type | Organization
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Legal Business Name | TOM B. CURTIS DMD., PC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1820 WILLAMETTE FALLS DR
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City | WEST LINN
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State | OR
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Zip | 97068-4550
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Country | US
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Telephone | 503-656-7340
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 WILLAMETTE FALLS DR
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City | WEST LINN
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State | OR
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Zip | 97068-4550
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Country | US
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Telephone | 503-656-7340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TOM B CURTIS
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Credential | D.M.D.
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Telephone | 503-656-7340
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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 | D6967
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License Number State | OR
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