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General NPI Number Information
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NPI Number | 1023678240
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Entity Type | Organization
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Legal Business Name | WASHINGTON INSTITUTE FOR COAGULATION
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 701 PIKE ST STE 1900
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City | SEATTLE
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State | WA
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Zip | 98101-3932
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Country | US
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Telephone | 206-614-1200
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Fax | 206-614-1700
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Provider Business Mailing Address
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Address Line | 701 PIKE ST STE 1900
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City | SEATTLE
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State | WA
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Zip | 98101-3932
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Country | US
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Telephone | 206-614-1200
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Fax | 206-614-1700
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | DR. REBECCA KRUSE-JARRES
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Credential | MD
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Telephone | 206-614-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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