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General NPI Number Information
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NPI Number | 1528562535
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Entity Type | Organization
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Legal Business Name | CARING SMILES DENTAL, LLC
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 15000 SW BARROWS RD STE 204
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City | BEAVERTON
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State | OR
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Zip | 97007-8778
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Country | US
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Telephone | 503-430-5096
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Fax |
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Provider Business Mailing Address
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Address Line | 15000 SW BARROWS RD STE 204
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City | BEAVERTON
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State | OR
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Zip | 97007-8778
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Country | US
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Telephone | 503-430-5096
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN ALLRED
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Credential | DMD
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Telephone | 503-348-4442
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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 | D9387
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License Number State | OR
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