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General NPI Number Information
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NPI Number | 1134496938
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Entity Type | Organization
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Legal Business Name | SWEDISH HEALTH SERVICES
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 550 17TH AVE STE A20
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City | SEATTLE
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State | WA
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Zip | 98122-5799
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Country | US
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Telephone | 206-386-4744
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Fax |
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Provider Business Mailing Address
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Address Line | 500 17TH AVE
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City | SEATTLE
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State | WA
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Zip | 98122-5711
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Country | US
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Telephone | 206-386-4744
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECREATRY FOR ENROLLMENT
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Name | DONALD WAYNE ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 259680
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License Number State |
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