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NPI Code Detail

MEDICARE: ALAN BASSINGTHWAIGHTE

MEDICARE:   ALAN  BASSINGTHWAIGHTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLP60140203WA

General Provider Information

NPI Number : 1568701407
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN BASSINGTHWAIGHTE
Provider Business Mailing Address
First Line : 3150 E LAURELHURST DR NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5333
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3150 E LAURELHURST DR NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5333
Country : US
Telephone Number : 206-324-4922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2013
Last Update Date : 02/13/2013

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Directions to “ ALAN BASSINGTHWAIGHTE ” Practice Location

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