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General NPI Number Information
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NPI Number | 1588674808
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Entity Type | Organization
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Legal Business Name | BRYANT AND JUNGE PS
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY SUITE 1438
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-682-3383
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Fax | 206-467-8160
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Provider Business Mailing Address
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Address Line | 509 OLIVE WAY SUITE 1438
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-682-3383
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Fax | 206-467-8160
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Authorized Official
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Title or Position | DENTIST PROSTHODENTIST
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Name | DR. RONALD A BRYANT
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Credential | DDS MSD
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Telephone | 206-682-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 4861
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 9541
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License Number State | WA
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