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General NPI Number Information
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NPI Number | 1205015112
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Entity Type | Organization
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Legal Business Name | PACIFIC NORTHWEST UROGYNECOLOGY PLLC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 903 MEDICAL CENTER DR
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City | ARLINGTON
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State | WA
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Zip | 98223-1697
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Country | US
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Telephone | 360-329-7897
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Fax | 360-925-2898
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | BELLEVUE
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State | WA
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Zip | 98009-0128
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Country | US
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Telephone | 360-329-7897
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Fax | 360-925-2898
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Authorized Official
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Title or Position | MEMBER
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Name | DR. WILLIAM ANDRE SILVA
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Credential | M.D.
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Telephone | 206-658-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD00044925
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License Number State | WA
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