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General NPI Number Information
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NPI Number | 1235324310
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Entity Type | Organization
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Legal Business Name | PM ANESTHESIA PLLC
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 1096 GOETHALS DR
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City | RICHLAND
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State | WA
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Zip | 99352-3303
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Country | US
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Telephone | 509-943-9700
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Fax | 509-943-1503
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Provider Business Mailing Address
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Address Line | 3237 PROFESSIONAL DR
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City | AUBURN
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State | CA
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Zip | 95602-2414
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Country | US
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Telephone | 530-885-8128
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Fax | 530-885-0239
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARGARET PATCHETT
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Credential | M.D.
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Telephone | 530-885-8128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00030765
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License Number State | WA
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