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General NPI Number Information
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NPI Number | 1831398155
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Entity Type | Individual
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Provider Name | HEATH ALEXANDER LAMPEE D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 14455 SW ALLEN BLVD STE 103
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City | BEAVERTON
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State | OR
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Zip | 97005-4428
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Country | US
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Telephone | 503-646-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 SW 10TH AVE APT 37
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City | PORTLAND
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State | OR
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Zip | 97239-3087
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Country | US
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Telephone | 503-910-7856
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D8943
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License Number State | OR
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