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General NPI Number Information
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NPI Number | 1821427832
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Entity Type | Organization
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Legal Business Name | JOSEPH D KEYES DDS LLC
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 11/11/2013
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Provider Practice Location Address
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Address Line | 230 SE CABOT DR STE 1
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City | OAK HARBOR
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State | WA
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Zip | 98277-3700
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Country | US
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Telephone | 360-675-2942
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Fax | 360-675-8289
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Provider Business Mailing Address
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Address Line | 230 SE CABOT DR STE 1
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City | OAK HARBOR
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State | WA
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Zip | 98277-3700
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Country | US
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Telephone | 360-675-2942
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Fax | 360-675-8289
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. JOSEPH D KEYES
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Credential | DDS
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Telephone | 360-675-2942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 60392932
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License Number State | WA
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