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General NPI Number Information
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NPI Number | 1083740823
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE ASSOCIATES PS
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4122 FACTORIA BLVD SE SUITE 201
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City | BELLEVUE
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State | WA
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Zip | 98006-4200
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Country | US
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Telephone | 425-865-8080
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Fax | 425-865-0977
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Provider Business Mailing Address
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Address Line | 4122 FACTORIA BLVD SE SUITE 201
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City | BELLEVUE
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State | WA
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Zip | 98006-4200
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Country | US
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Telephone | 425-865-8080
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Fax | 425-865-0977
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DAVID J GAMRATH
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Credential | DO
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Telephone | 425-865-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | WA
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