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General NPI Number Information
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NPI Number | 1033319439
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Entity Type | Individual
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Provider Name | COLLEEN M O'KELLY PRIDDY MD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1221 MADISON ST STE 600
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City | SEATTLE
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State | WA
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Zip | 98104-1364
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Country | US
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Telephone | 206-215-5900
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Fax | 206-215-2250
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 23876
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ML20008982
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 283827
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD60096012
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A135991
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License Number State | CA
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