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General NPI Number Information
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NPI Number | 1710297098
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Entity Type | Individual
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Provider Name | ERIN RURIK PALMER DMD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 9951 MICKELBERRY RD NW STE 223
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City | SILVERDALE
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State | WA
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Zip | 98383-8309
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Country | US
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Telephone | 360-698-1183
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Fax | 360-698-1755
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Provider Business Mailing Address
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Address Line | 9951 MICKELBERRY RD NW STE 223
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City | SILVERDALE
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State | WA
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Zip | 98383-8309
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Country | US
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Telephone | 360-698-1183
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Fax | 360-698-1755
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 60436190
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License Number State | WA
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