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General NPI Number Information
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NPI Number | 1811182165
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Entity Type | Organization
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Legal Business Name | DORIS A PAGE, M.D.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 1901 S UNION AVE SUITE B3003
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City | TACOMA
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State | WA
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Zip | 98405-1702
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Country | US
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Telephone | 253-572-9923
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Fax | 253-572-8224
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Provider Business Mailing Address
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Address Line | 1901 S UNION AVE SUITE B3003
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City | TACOMA
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State | WA
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Zip | 98405-1702
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Country | US
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Telephone | 253-572-9923
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Fax | 253-572-8224
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Authorized Official
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Title or Position | OWNER
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Name | DR. DORIS A PAGE
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Credential | M.D.
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Telephone | 253-572-9923
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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 | MD00026811
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License Number State | WA
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