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General NPI Number Information
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NPI Number | 1164782975
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Entity Type | Organization
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Legal Business Name | NORTHWEST OBSTETRICS & GYNECOLOGY
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 1560 N 115TH ST SUITE 109
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City | SEATTLE
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State | WA
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Zip | 98133-8414
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Country | US
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Telephone | 206-361-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 N 115TH ST SUITE 109
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City | SEATTLE
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State | WA
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Zip | 98133-8414
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Country | US
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Telephone | 206-361-1300
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DENISE E CHO
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Credential | MD
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Telephone | 206-361-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD00025581
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License Number State | WA
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