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General NPI Number Information
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NPI Number | 1144529843
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Entity Type | Individual
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Provider Name | NICOLE M BYRNE MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 12101 TUKWILA INTERNATIONAL BLVD
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City | TUKWILA
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State | WA
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Zip | 98168-2569
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Country | US
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Telephone | 532-528-4870
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Fax | 877-839-6528
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Provider Business Mailing Address
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Address Line | 12101 TUKLA INTL BLVD FL 4
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City | TUKWILA
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State | WA
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Zip | 98168-2569
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Country | US
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Telephone | 253-528-4870
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Fax | 778-396-5288
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60648996
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD60648996
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License Number State | WA
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