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General NPI Number Information
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NPI Number | 1730240599
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Entity Type | Organization
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Legal Business Name | NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 1901 S CEDAR ST STE 103
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City | TACOMA
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State | WA
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Zip | 98405-2302
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Country | US
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Telephone | 253-272-1812
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Fax | 253-682-1455
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Provider Business Mailing Address
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Address Line | PO BOX 5098
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City | TACOMA
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State | WA
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Zip | 98415-0098
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Country | US
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Telephone | 253-272-1812
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Fax | 253-682-1455
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DONALD L TRIPPEL
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Credential | M.D.
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Telephone | 252-272-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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