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General NPI Number Information
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NPI Number | 1053408724
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Entity Type | Individual
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Provider Name | DAVID ALBERT PIERCE MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 15950 SW MILLIKAN WAY
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City | BEAVERTON
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State | OR
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Zip | 97006
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Country | US
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Telephone | 503-646-0161
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Fax | 503-221-4451
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Provider Business Mailing Address
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Address Line | 421 SW OAK ST STE 210
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City | PORTLAND
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State | OR
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Zip | 97204-1842
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Country | US
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Telephone | 503-646-0161
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Fax | 503-221-4451
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD22515
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License Number State | OR
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