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General NPI Number Information
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NPI Number | 1073606117
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Entity Type | Individual
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Provider Name | DAVID MARTIN TRETHEWAY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | UNIVERSITY OF WASHINGTON MEDICAL CENTER 1959 NE PACIFIC, NE110 BOX 356100
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City | SEATTLE
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State | WA
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Zip | 98195-6100
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Country | US
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Telephone | 206-598-6400
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF WASHINGTON MEDICAL CENTER 1959 NE PACIFIC STREET;NE 110 BOX 356100
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City | SEATTLE
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State | WA
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Zip | 98195-6100
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Country | US
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Telephone | 206-598-6400
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | MD60142058
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | FE60096740
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License Number State | WA
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