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General NPI Number Information
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NPI Number | 1891865465
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Entity Type | Individual
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Provider Name | DALE K. PRICE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1346 8TH ST NE SUITE # 101
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City | AUBURN
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State | WA
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Zip | 98002-4588
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Country | US
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Telephone | 253-833-6774
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Fax |
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Provider Business Mailing Address
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Address Line | 18631 SE 277TH PL
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City | KENT
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State | WA
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Zip | 98042-5367
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Country | US
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Telephone | 253-639-0860
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5753
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License Number State | WA
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