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General NPI Number Information
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NPI Number | 1164929170
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Entity Type | Individual
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Provider Name | VIKAS DALWADI DO
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Gender | Male
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 12039 NE 128TH ST STE 300
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City | KIRKLAND
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State | WA
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Zip | 98034-3029
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Country | US
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Telephone | 425-899-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 12039 NE 128TH ST STE 300
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City | KIRKLAND
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State | WA
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Zip | 98034-3029
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Country | US
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Telephone | 425-899-3135
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | OP61591921
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License Number State | WA
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