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General NPI Number Information
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NPI Number | 1114364122
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Entity Type | Organization
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Legal Business Name | MAYLIN J PADAYATTY MD PLLC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 520 N 4TH AVE
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City | PASCO
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State | WA
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Zip | 99301-5257
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Country | US
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Telephone | 509-547-7704
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 S IRBY ST
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City | KENNEWICK
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State | WA
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Zip | 99337-2455
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Country | US
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Telephone | 702-453-3799
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Fax | 702-453-5741
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | LORI LABRECQUE
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Credential |
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Telephone | 702-453-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD00043799
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License Number State | WA
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