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General NPI Number Information
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NPI Number | 1104185073
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Entity Type | Organization
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Legal Business Name | NORTHWEST ENT ASSOCIATES
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 1536 N 115TH ST SUITE 340
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City | SEATTLE
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State | WA
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Zip | 98133-8400
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Country | US
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Telephone | 206-525-2525
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Fax | 206-525-0346
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Provider Business Mailing Address
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Address Line | 1536 N 115TH ST SUITE 340
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City | SEATTLE
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State | WA
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Zip | 98133-8400
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Country | US
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Telephone | 206-525-2525
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Fax | 206-525-0346
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SARAH POLLARD
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Credential |
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Telephone | 206-368-1676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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