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General NPI Number Information
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NPI Number | 1093500225
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Entity Type | Organization
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Legal Business Name | HARBORVIEW MEDICAL CENTER
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 325 9TH AVE # 359797
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 206-744-7123
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Fax | 206-744-9919
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Provider Business Mailing Address
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Address Line | 325 9TH AVE # 359797
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 206-744-7123
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Fax | 206-744-9919
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Authorized Official
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Title or Position | MHP
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Name | GEORGE DICKS
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Credential | CQ61645164
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Telephone | 206-330-7457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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