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General NPI Number Information
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NPI Number | 1841436961
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Entity Type | Organization
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Legal Business Name | SHILLINGER DDS PS
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 11100 NE COXLEY DR
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City | VANCOUVER
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State | WA
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Zip | 98662-6193
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Country | US
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Telephone | 360-254-9700
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Fax | 360-254-5580
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Provider Business Mailing Address
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Address Line | 11100 NE COXLEY DR
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City | VANCOUVER
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State | WA
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Zip | 98662-6193
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Country | US
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Telephone | 360-254-9700
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Fax | 360-254-5580
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | DR. KIRK M SHILLINGER
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Credential | DDS
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Telephone | 360-254-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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