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General NPI Number Information
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NPI Number | 1023504446
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Entity Type | Individual
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Provider Name | ANNELISE AMY PACE MS
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 751 NE BLAKELY DR STE 1090
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City | ISSAQUAH
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State | WA
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Zip | 98029-6201
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Country | US
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Telephone | 206-215-3075
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Fax | 206-991-2367
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Provider Business Mailing Address
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Address Line | 1221 MADISON ST STE 500
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City | SEATTLE
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State | WA
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Zip | 98104-1388
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Country | US
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Telephone | 206-215-3075
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Fax | 206-991-2367
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 61062206
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License Number State | WA
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