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General NPI Number Information
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NPI Number | 1639380991
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Entity Type | Organization
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Legal Business Name | GEORGE H NAUERT DDS PS
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6821 N COUNTRY HOMES BLVD SUITE 204
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City | SPOKANE
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State | WA
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Zip | 99208-4376
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Country | US
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Telephone | 509-324-0817
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Fax | 509-325-6133
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Provider Business Mailing Address
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Address Line | 6821 N COUNTRY HOMES BLVD SUITE 204
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City | SPOKANE
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State | WA
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Zip | 99208-4376
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Country | US
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Telephone | 509-324-0817
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Fax | 509-325-6133
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE H NAUERT
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Credential | DDS MS PS
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Telephone | 509-324-0817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4655
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License Number State | WA
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