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General NPI Number Information
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NPI Number | 1386854974
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Entity Type | Individual
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Provider Name | JOHN DEMPSTER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 2121 NE 139TH ST MEDICAL OFFICE BUILDING A, SUITE 400
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City | VANCOUVER
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State | WA
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Zip | 98686-2316
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Country | US
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Telephone | 360-487-4707
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Fax | 360-487-4709
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Provider Business Mailing Address
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Address Line | 2121 NE 139TH ST MEDICAL OFFICE BUILDING A, SUITE 400
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City | VANCOUVER
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State | WA
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Zip | 98686-2316
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Country | US
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Telephone | 360-487-4707
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Fax | 360-487-4709
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD60170989
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD28304
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License Number State | OR
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