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General NPI Number Information
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NPI Number | 1225154719
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Entity Type | Organization
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Legal Business Name | WILLIAM MARK DEAN MD APMC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3225 WILLAMETTE ST SUITE 2
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City | EUGENE
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State | OR
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Zip | 97405-3309
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Country | US
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Telephone | 541-686-7313
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Fax | 541-302-6676
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Provider Business Mailing Address
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Address Line | 3225 WILLAMETTE ST SUITE 2
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City | EUGENE
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State | OR
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Zip | 97405-3309
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Country | US
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Telephone | 541-686-7313
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Fax | 541-302-6676
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM MARK DEAN
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Credential | MD
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Telephone | 541-686-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD26404
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License Number State | OR
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