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General NPI Number Information
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NPI Number | 1225198708
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Entity Type | Individual
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Provider Name | STEPHEN PETER MARKUS MD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1560 140TH AVE NE #203
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City | BELLEVUE
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State | WA
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Zip | 98005
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Country | US
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Telephone | 425-644-6048
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Fax | 425-641-2721
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Provider Business Mailing Address
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Address Line | 1935 4TH ST
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City | KIRKLAND
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State | WA
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Zip | 98033
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Country | US
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Telephone | 425-644-6048
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Fax | 425-641-2721
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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 | MD00021837
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD00021837
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G153534
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License Number State | CA
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