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General NPI Number Information
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NPI Number | 1942523535
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Entity Type | Organization
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Legal Business Name | JAMES P. DREW, D.D.S., P.S.
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 9395 LINDER WAY NW SUITE 102
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City | SILVERDALE
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State | WA
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Zip | 98383-9149
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Country | US
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Telephone | 360-698-3588
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Fax | 360-698-3650
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Provider Business Mailing Address
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Address Line | 9395 LINDER WAY NW SUITE 102
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City | SILVERDALE
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State | WA
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Zip | 98383-9149
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Country | US
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Telephone | 360-698-3588
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Fax | 360-698-3650
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JAMES P DREW
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Credential | D.D.S.
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Telephone | 360-698-3588
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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 | DE00006462
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License Number State | WA
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