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NPI Code Detail

MEDICARE: MS. LINDA DIANE BURTON RD

MEDICARE: MS. LINDA DIANE BURTON RD
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
1133V00000XRegistered DietitianDI00000763WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659441509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA DIANE BURTON RD
Provider Business Mailing Address
First Line : 6539 21ST AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98117-5745
Country : US
Telephone Number : 206-296-9889
Fax Number :
Provider Business Practice Location Address
First Line : 33431- 13TH PLACE SO.
Second Line : FEDERAL WAY HEALTH CENTER
City : FEDERAL WAY
State : WA
Zip : 98003-6357
Country : US
Telephone Number : 206-296-9889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LINDA DIANE BURTON RD” Practice Location

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