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General NPI Number Information
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NPI Number | 1821159088
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Entity Type | Individual
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Provider Name | JEREMY CHARLES PAMPLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/08/2024
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-5001
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Country | US
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Telephone | 253-968-2252
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Fax |
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Provider Business Mailing Address
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Address Line | WRAMC, BLDG 2, ROOM 2J38 6900 GEORGIA AVE, NW
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City | WASHINGTON
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State | DC
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Zip | 20307-5001
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Country | US
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Telephone | 202-782-7327
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD34030
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | D0086422
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 60002704
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License Number State | WA
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