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General NPI Number Information
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NPI Number | 1730525742
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Entity Type | Individual
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Provider Name | MARK LEWIS EPSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1460 G ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4112
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Country | US
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Telephone | 816-800-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 933 BRADBURY DR SE STE 2222
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4375
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD2018-0143
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.144431
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD221925
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 14215783-1205
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License Number State | UT
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