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General NPI Number Information
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NPI Number | 1821489915
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Entity Type | Organization
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Legal Business Name | RIVERFRONT DENTAL, LLC
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 1505 WATER ST NE
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City | SALEM
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State | OR
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Zip | 97301-6467
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Country | US
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Telephone | 503-370-7651
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Fax | 503-370-4288
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Provider Business Mailing Address
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Address Line | 1505 WATER ST NE
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City | SALEM
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State | OR
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Zip | 97301-6467
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Country | US
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Telephone | 503-370-7651
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Fax | 503-370-4288
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT HOWE
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Credential |
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Telephone | 503-370-7651
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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 | 8951
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License Number State | OR
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