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General NPI Number Information
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NPI Number | 1033117270
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Entity Type | Organization
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Legal Business Name | SMC DAY SURGERY
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 17910 TALBOT RD S SUITE 100
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City | RENTON
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State | WA
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Zip | 98055-6237
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Country | US
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Telephone | 425-235-9981
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Fax | 425-271-1217
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Provider Business Mailing Address
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Address Line | PO BOX 94032
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City | SEATTLE
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State | WA
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Zip | 98124-9432
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Country | US
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Telephone | 425-235-9981
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Fax | 425-271-1217
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JULIE DOWNS
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Credential |
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Telephone | 425-235-9981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | WA
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