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General NPI Number Information
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NPI Number | 1730190406
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Entity Type | Individual
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Provider Name | RONALD ALBERT LUND D.D.S
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 7819 NE 13TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98665-9601
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Country | US
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Telephone | 360-546-1106
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Fax | 360-546-0782
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Provider Business Mailing Address
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Address Line | 7819 NE 13TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98665-9601
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Country | US
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Telephone | 360-546-1106
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Fax | 360-546-0782
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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 | 3253
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7894
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1807
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License Number State | WI
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