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General NPI Number Information
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NPI Number | 1437131570
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Entity Type | Individual
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Provider Name | DENISE MARGARET DEMERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 9040 A REID STREET MADIGAN ARMY MEDICAL CENTER, ATTN: MCHJ- QCR
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City | TACOMA
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State | WA
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Zip | 98431-1100
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Country | US
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Telephone | 253-968-1892
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 A REID STREET MADIGAN ARMY MEDICAL CENTER, ATTN: MCHJ- QCR
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City | TACOMA
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State | WA
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Zip | 98431-1100
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Country | US
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Telephone | 253-968-1892
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Fax |
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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 | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | MD 5776
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License Number State | HI
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