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General NPI Number Information
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NPI Number | 1457313108
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Entity Type | Individual
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Provider Name | MICHAEL A. MAURER MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 1046 W 6TH AVE EMERGENCY DEPARTMENT
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City | ALBANY
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State | OR
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Zip | 97321
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Country | US
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Telephone | 503-926-2244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2065
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City | SEATTLE
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State | WA
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Zip | 98111-2065
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Country | US
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Telephone | 888-633-0083
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD24564
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License Number State | OR
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