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General NPI Number Information
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NPI Number | 1669510970
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Entity Type | Organization
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Legal Business Name | DONALD R LEPERE DDS PS
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 22921 NE STATE ROUTE 3
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City | BELFAIR
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State | WA
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Zip | 98528
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Country | US
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Telephone | 360-275-2855
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Fax | 360-275-9536
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | BELFAIR
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State | WA
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Zip | 98528
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Country | US
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Telephone | 360-275-2855
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Fax | 360-275-9536
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DONALD RICHARD LEPERE
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Credential | DDS
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Telephone | 360-275-2855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE0004366
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License Number State | WA
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