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General NPI Number Information
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NPI Number | 1609047810
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Entity Type | Individual
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Provider Name | PAUL HOWARD STEPAK MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 15300 BOTHELL WAY NE
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City | LAKE FOREST PARK
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State | WA
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Zip | 98155-7634
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Country | US
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Telephone | 206-522-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 355 N 80TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-4211
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Country | US
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Telephone | 206-420-3108
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 025209-MD00032939
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License Number State | WA
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