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NPI Code Detail

MEDICARE: DR. JENNIFER J DACUS MD

MEDICARE: DR. JENNIFER J DACUS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianMD61432064WA
2207R00000XInternal Medicine Physician01056212AIN

General Provider Information

NPI Number : 1538158571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER J DACUS MD
Provider Business Mailing Address
First Line : 700 LILLY RD NE
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-5196
Country : US
Telephone Number : 360-923-7560
Fax Number : 360-923-7108
Provider Business Practice Location Address
First Line : 700 LILLY RD NE
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-5115
Country : US
Telephone Number : 360-923-7560
Fax Number : 360-923-7108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 05/05/2024

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Directions to “ DR. JENNIFER J DACUS MD” Practice Location

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