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General NPI Number Information
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NPI Number | 1427293109
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Entity Type | Organization
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Legal Business Name | CASCADE EYE & SKIN CENTERS PC
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 205 10TH ST NE STE 119
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City | AUBURN
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State | WA
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Zip | 98002-4045
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Country | US
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Telephone | 253-848-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 S MERIDIAN SUITE 101
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City | PUYALLUP
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State | WA
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Zip | 98371-7590
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Country | US
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Telephone | 253-848-3000
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Fax | 253-845-8750
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEITH F DAHLHAUSER
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Credential | M.D.
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Telephone | 253-848-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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