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General NPI Number Information
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NPI Number | 1831290816
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Entity Type | Individual
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Provider Name | ERIC JON DEMERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3626 NE 45TH ST SUITE 300
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City | SEATTLE
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State | WA
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Zip | 98105-5652
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Country | US
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Telephone | 206-526-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 3626 NE 45TH ST STE 300
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City | SEATTLE
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State | WA
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Zip | 98105-5653
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Country | US
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Telephone | 206-526-2600
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD00040079
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License Number State | WA
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