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General NPI Number Information
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NPI Number | 1982840914
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Entity Type | Organization
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Legal Business Name | DANIEL R BYRNE DMD PS
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 05/29/2009
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Provider Practice Location Address
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Address Line | 21 NE ROMANCE HILL RD SUITE 103
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City | BELFAIR
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State | WA
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Zip | 98528
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Country | US
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Telephone | 360-275-6292
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Fax | 360-275-6292
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Provider Business Mailing Address
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Address Line | 3110 JUDSON ST STE 179
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City | GIG HARBOR
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State | WA
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Zip | 98335-1254
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Country | US
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Telephone | 235-851-2060
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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. DANIEL R BYRNE
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Credential | DMD
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Telephone | 360-275-6290
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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 | 6846
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License Number State | WA
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