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General NPI Number Information
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NPI Number | 1194768333
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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 | 06/14/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 500 17TH AVE STE 150C
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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 | 206-320-4411
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Fax | 206-320-4658
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Provider Business Mailing Address
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Address Line | PO BOX 84026
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City | SEATTLE
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State | WA
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Zip | 98124-8426
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Country | US
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Telephone | 206-320-4476
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Fax | 206-320-5340
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 600660285
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License Number State | WA
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