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General NPI Number Information
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NPI Number | 1811070501
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Entity Type | Individual
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Provider Name | JOSEPH JOHN PAWLUSIAK DDS
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 03/15/2019
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Provider Practice Location Address
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Address Line | 3919 N MAPLE ST
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City | SPOKANE
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State | WA
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Zip | 99205
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Country | US
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Telephone | 509-444-8888
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Fax | 509-444-7806
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Provider Business Mailing Address
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Address Line | 203 N WASHINGTON ST STE 300
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City | SPOKANE
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State | WA
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Zip | 99201-0254
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Country | US
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Telephone | 509-444-8888
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Fax | 509-444-7806
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DE00007018
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7018
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License Number State | WA
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