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General NPI Number Information
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NPI Number | 1821648080
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Entity Type | Organization
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Legal Business Name | KYLE HUISH DDS PLLC
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 10010 N DIVISION ST
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City | SPOKANE
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State | WA
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Zip | 99218-1305
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Country | US
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Telephone | 509-466-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 6107 HILLMONT LN
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City | SPOKANE
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State | WA
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Zip | 99217-8771
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Country | US
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Telephone | 602-616-1562
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KYLE HUISH
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Credential | DDS
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Telephone | 602-616-1562
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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 |
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License Number State |
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