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General NPI Number Information
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NPI Number | 1629420757
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Entity Type | Individual
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Provider Name | CHRISTIN M. LEPUS M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 12501 E MARGINAL WAY S
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City | TUKWILA
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State | WA
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Zip | 98168-5162
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Country | US
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Telephone | 206-576-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 12501 E MARGINAL WAY S
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City | TUKWILA
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State | WA
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Zip | 98168-5162
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Country | US
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Telephone | 206-576-6050
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 267791
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | MD61164652
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License Number State | WA
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