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General NPI Number Information
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NPI Number | 1225209471
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Entity Type | Individual
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Provider Name | JOHN BISCHOFF CARPENTER MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 19000 33RD AVE W STE 230
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City | LYNNWOOD
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State | WA
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Zip | 98036-4752
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Country | US
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Telephone | 425-686-7138
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Fax | 425-745-4104
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Provider Business Mailing Address
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Address Line | PO BOX 34888
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City | SEATTLE
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State | WA
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Zip | 98124-1888
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Country | US
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Telephone | 425-977-4620
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Fax | 425-745-9836
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 80848
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD 60139285
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License Number State | WA
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