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General NPI Number Information
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NPI Number | 1164628756
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL EAGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 34503 9TH AVE S STE 100
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8726
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Country | US
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Telephone | 253-835-8700
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Fax | 253-835-8000
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Provider Business Mailing Address
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Address Line | 34503 9TH AVE S STE 100
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8726
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Country | US
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Telephone | 253-835-8700
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Fax | 253-835-8000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MDR-5279
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60205862
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License Number State | WA
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