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General NPI Number Information
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NPI Number | 1003219106
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Entity Type | Individual
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Provider Name | DAVID SCHLEIFFERS LMP
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Gender | Male
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 2100 E UNION ST
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City | SEATTLE
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State | WA
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Zip | 98122-2954
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Country | US
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Telephone | 206-853-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 507 MAYNARD AVE S 207
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City | SEATTLE
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State | WA
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Zip | 98104-3906
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Country | US
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Telephone | 253-217-2289
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 60499250
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License Number State | WA
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