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General NPI Number Information
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NPI Number | 1639432537
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Entity Type | Individual
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Provider Name | DAVID M. ESCOBAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2012
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 9631 269TH ST NW
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City | STANWOOD
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State | WA
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Zip | 98292
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Country | US
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Telephone | 360-629-1600
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Fax | 360-629-1644
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Provider Business Mailing Address
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Address Line | 1400 E KINCAID ST ATTN: CREDENTIALING
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4127
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Country | US
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Telephone | 360-428-2500
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Fax | 360-428-6485
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP60546029
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OP60546029
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License Number State | WA
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