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General NPI Number Information
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NPI Number | 1912230152
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Entity Type | Organization
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Legal Business Name | GEOFFREY T PING, PS
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 250 N MISSION ST
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City | WENATCHEE
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State | WA
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Zip | 98801-2004
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Country | US
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Telephone | 206-999-6144
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Fax |
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Provider Business Mailing Address
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Address Line | 331 SUNTIDES BLVD
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City | YAKIMA
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State | WA
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Zip | 98908-9025
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Country | US
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Telephone | 206-999-6144
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEOFFREY T PING
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Credential | DDS
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Telephone | 206-999-6144
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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 | DE00010971
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License Number State | WA
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