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General NPI Number Information
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NPI Number | 1215194774
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPTIAL DISTRICT NO 2
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 12040 NE 128TH ST MS-10
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City | KIRKLAND
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State | WA
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Zip | 98034-3013
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Country | US
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Telephone | 425-899-3270
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Fax | 425-899-3269
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Provider Business Mailing Address
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Address Line | PO BOX 34603
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City | SEATTLE
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State | WA
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Zip | 98124-1603
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Country | US
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Telephone | 425-899-3270
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Fax | 425-899-3269
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Authorized Official
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Title or Position | CEO
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Name | STEVE BROWN
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Credential |
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Telephone | 425-899-2491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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