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General NPI Number Information
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NPI Number | 1881860864
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Entity Type | Organization
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Legal Business Name | EDWARD H. PERKL, DDS, PS
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 19718 68TH AVE W SUITE F
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City | LYNNWOOD
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State | WA
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Zip | 98036-5965
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Country | US
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Telephone | 425-778-2126
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Fax | 425-775-2329
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Provider Business Mailing Address
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Address Line | 19718 68TH AVE W SUITE F
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City | LYNNWOOD
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State | WA
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Zip | 98036-5965
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Country | US
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Telephone | 425-778-2126
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Fax | 425-775-2329
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. EDWARD H PERKL
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Credential | DDS
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Telephone | 425-778-2126
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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 | DE00004970
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License Number State | WA
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