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General NPI Number Information
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NPI Number | 1184865198
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Entity Type | Organization
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Legal Business Name | SEATTLE UROLOGICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 1221 MADISON ST #1210
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City | SEATTLE
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State | WA
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Zip | 98104-3588
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Country | US
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Telephone | 206-292-6488
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Fax | 206-623-2436
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Provider Business Mailing Address
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Address Line | 1221 MADISON ST #1210
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City | SEATTLE
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State | WA
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Zip | 98104-3588
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Country | US
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Telephone | 206-292-6488
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Fax | 206-623-2436
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Authorized Official
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Title or Position | MEDICAL ADMINISTRATOR
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Name | DR. NANCE QUIMOSING
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Credential | MD
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Telephone | 206-292-6488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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