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General NPI Number Information
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NPI Number | 1750302030
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Entity Type | Individual
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Provider Name | SCOTT ALLEN BABIN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 7631 212TH ST SW SUITE 109C
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-629-8228
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Fax | 425-673-2856
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Provider Business Mailing Address
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Address Line | 7631 212TH ST SW SUITE 109C
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-629-8228
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Fax | 425-673-2856
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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 | DE00010194
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License Number State | WA
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