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General NPI Number Information
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NPI Number | 1568850014
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Entity Type | Organization
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Legal Business Name | BARRETT & KUSHNER PLLC
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 19365 7TH AVE NE SUITE 114
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City | POULSBO
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State | WA
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Zip | 98370-7441
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Country | US
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Telephone | 360-779-7711
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Fax | 360-779-7732
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Provider Business Mailing Address
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Address Line | 19365 7TH AVE NE SUITE 114
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City | POULSBO
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State | WA
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Zip | 98370-7441
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Country | US
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Telephone | 360-779-7711
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Fax | 360-779-7732
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Authorized Official
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Title or Position | PARTNER
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Name | DR. TANYA A GUREVICH KUSHNER
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Credential | D.D.S.
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Telephone | 360-779-7711
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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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