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General NPI Number Information
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NPI Number | 1568635365
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Entity Type | Individual
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Provider Name | STEPHEN M DECHTER DO
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Gender | Male
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Dates
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Enumeration Date | 04/12/2008
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 9915 SANDIFUR PKWY STE B
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City | PASCO
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State | WA
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Zip | 99301-8941
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Country | US
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Telephone | 509-586-2828
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Fax | 509-586-2525
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Provider Business Mailing Address
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Address Line | 711 S AUBURN ST
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City | KENNEWICK
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State | WA
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Zip | 99336-5665
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Country | US
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Telephone | 509-586-2828
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Fax | 509-586-2525
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | DO161115
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 20A12083
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OP60328984
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License Number State | WA
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