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General NPI Number Information
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NPI Number | 1669575163
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Entity Type | Individual
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Provider Name | DWIGHT SCOTT POEHLMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 34503 9TH AVE S SUITE 330
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8727
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Country | US
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Telephone | 253-838-3695
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Fax | 253-661-1987
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Provider Business Mailing Address
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Address Line | 34503 9TH AVE S SUITE 330
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8727
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Country | US
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Telephone | 253-838-3695
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Fax | 253-661-1987
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | H8332
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | MD60330578
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | H8332
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60330578
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License Number State | WA
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