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General NPI Number Information
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NPI Number | 1578537031
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Entity Type | Individual
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Provider Name | KLAUS D MERGENER M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 21600 HIGHWAY 99 STE 260
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City | EDMONDS
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State | WA
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Zip | 98026-8049
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Country | US
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Telephone | 425-774-2650
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Fax | 425-774-2643
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Provider Business Mailing Address
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Address Line | 1917 WARREN AVE N
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City | SEATTLE
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State | WA
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Zip | 98109-2551
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Country | US
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Telephone | 206-852-3034
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD00039380
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License Number State | WA
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