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General NPI Number Information
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NPI Number | 1912568031
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Entity Type | Individual
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Provider Name | SCHULER PRESTON LUCE DDS
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Gender | Male
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3402 S 18TH ST
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City | TACOMA
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State | WA
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Zip | 98405-1903
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Country | US
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Telephone | 253-473-4303
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Fax |
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Provider Business Mailing Address
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Address Line | 3705 196TH AVENUE CT E
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City | LAKE TAPPS
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State | WA
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Zip | 98391-9039
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Country | US
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Telephone | 206-697-1016
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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 | DE61521365
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License Number State | WA
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