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General NPI Number Information
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NPI Number | 1912340357
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Entity Type | Individual
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Provider Name | HILLARY CHISHOLM STIEFEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 16701 SE MCGILLIVRAY BLVD STE 170
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City | VANCOUVER
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State | WA
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Zip | 98683-3604
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Country | US
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Telephone | 360-260-7132
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Fax | 360-260-5523
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Provider Business Mailing Address
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Address Line | 16701 SE MCGILLIVRAY BLVD STE 170
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City | VANCOUVER
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State | WA
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Zip | 98683-3604
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Country | US
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Telephone | 360-260-7132
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Fax | 360-260-5523
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD183624
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD60949595
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License Number State | WA
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