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General NPI Number Information
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NPI Number | 1194714790
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Entity Type | Organization
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Legal Business Name | DALE E EPPER MD
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4444 SUNSET BLVD DALE E EPPER MD DBA HIGHLANDS FAMILY PRACTICE
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City | RENTON
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State | WA
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Zip | 98059
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Country | US
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Telephone | 425-255-2113
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Fax | 425-255-1909
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Provider Business Mailing Address
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Address Line | PO BOX 13684 DALE E EPPER DBA HIGHLANDS FAMILY PRACTICE
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City | SEATTLE
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State | WA
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Zip | 98198-1010
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Country | US
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Telephone | 425-255-2113
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Fax | 425-255-1909
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Authorized Official
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Title or Position | PRES
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Name | DALE E EPPER
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Credential | MD
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Telephone | 425-255-2113
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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 | WA027325
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License Number State | WA
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