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General NPI Number Information
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NPI Number | 1932500592
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Entity Type | Individual
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Provider Name | ERIN KANE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 715 W COURT ST FL 1
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City | PASCO
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State | WA
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Zip | 99301-4153
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Country | US
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Telephone | 509-543-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 515 W COURT ST
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City | PASCO
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State | WA
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Zip | 99301-3737
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Country | US
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Telephone | 509-543-1429
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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 | DE60480869
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License Number State | WA
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