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General NPI Number Information
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NPI Number | 1548476872
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Entity Type | Individual
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Provider Name | JONATHAN PAUL STOEHR M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 1100 NINTH AVENUE
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City | SEATTLE
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State | WA
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Zip | 98111
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Country | US
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Telephone | 206-223-6627
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Fax | 206-223-2313
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Provider Business Mailing Address
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Address Line | 1100 NINTH AVENUE, MAILSTOP X8-EN PO BOX 900
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City | SEATTLE
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State | WA
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Zip | 98111
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Country | US
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Telephone | 206-223-6627
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Fax | 206-223-2313
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD 60280059
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD 60280059
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License Number State | WA
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