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General NPI Number Information
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NPI Number | 1730489030
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Entity Type | Individual
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Provider Name | DAVID ROYER DDS
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Gender | Male
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 100 N COLLEGE AVE
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City | COLLEGE PLACE
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State | WA
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Zip | 99324
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Country | US
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Telephone | 509-525-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N COLLEGE AVE
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City | COLLEGE PLACE
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State | WA
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Zip | 99324-1015
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Country | US
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Telephone | 509-525-4177
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 60179697
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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 | 60179697
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License Number State | WA
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