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General NPI Number Information
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NPI Number | 1215985502
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Entity Type | Organization
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Legal Business Name | CASCADE SURGERY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 125 3RD ST NE STE 402
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City | AUBURN
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State | WA
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Zip | 98002-4035
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Country | US
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Telephone | 253-333-1637
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Fax | 253-351-8509
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Provider Business Mailing Address
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Address Line | PO BOX 35142 #698909
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City | SEATTLE
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State | WA
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Zip | 98124-5142
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Country | US
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Telephone | 253-333-6960
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | ASHISH M TRIVEDI
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Credential |
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Telephone | 253-333-1637
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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 |
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License Number State |
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