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General NPI Number Information
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NPI Number | 1659230076
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Entity Type | Organization
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Legal Business Name | DUFFIN DENTAL CORP, 111 DENTAL
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 111 LEBER ST. NE
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City | ORTING
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State | WA
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Zip | 98360
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Country | US
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Telephone | 360-893-9214
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Fax | 360-893-9216
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | ORTING
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State | WA
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Zip | 98360-0069
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Country | US
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Telephone | 360-893-9214
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Fax | 360-893-9216
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Authorized Official
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Title or Position | PRESIDENT DUFFIN DENTAL CORP
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Name | DR. JAMES LEE DUFFIN
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Credential | DDS
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Telephone | 253-677-9012
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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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