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NPI 1982722914

NPI 1982722914 : PATRICK EDWARD BARRETT DDS : POULSBO, WA

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General NPI Number Information
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    NPI Number           |    1982722914
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK EDWARD BARRETT DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/27/2007
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    19365 7TH AVE NE SUITE 114
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    City                 |    POULSBO
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    State                |    WA
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    Zip                  |    98370-7441
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    Country              |    US
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    Telephone            |    360-779-7711
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    Fax                  |    360-779-7732
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Provider Business Mailing Address
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    Address Line         |    19365 7TH AVE NE SUITE 114
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    City                 |    POULSBO
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    State                |    WA
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    Zip                  |    98370-7441
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    Country              |    US
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    Telephone            |    360-779-7711
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    Fax                  |    360-779-7732
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DE00004016
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    License Number State |    WA
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