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General NPI Number Information
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NPI Number | 1982740874
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Entity Type | Organization
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Legal Business Name | DR. ROBERT M PAVALUNAS D.D.S. P.S.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 M ST NE STE 104
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City | AUBURN
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State | WA
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Zip | 98002-4500
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Country | US
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Telephone | 253-833-9063
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Fax | 253-833-9197
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Provider Business Mailing Address
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Address Line | 11033 SE 295TH ST
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City | AUBURN
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State | WA
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Zip | 98092-1902
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Country | US
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Telephone | 253-931-8257
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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. ROBERT MERRITT PAVALUNAS
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Credential | D.D.S.
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Telephone | 253-833-9063
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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 | 3846
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License Number State | WA
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