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General NPI Number Information
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NPI Number | 1003194911
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Entity Type | Organization
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Legal Business Name | PEACEHEALTH
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 200 NE MOTHER JOSEPH PL STE 400
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City | VANCOUVER
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State | WA
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Zip | 98664-3290
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Country | US
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Telephone | 360-256-2640
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1588
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City | VANCOUVER
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State | WA
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Zip | 98668-1588
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SYS VP FIN INTEGRITY/CONTROLLER
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Name | JEFFREY SEIRER
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Credential |
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Telephone | 360-729-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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