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General NPI Number Information
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NPI Number | 1245118132
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Entity Type | Individual
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Provider Name | ZACHARY IRELAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 202 N DIVISION ST
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City | AUBURN
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State | WA
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Zip | 98001-4939
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Country | US
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Telephone | 253-833-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 6507 1/2 4TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98117-5007
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Country | US
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Telephone | 970-412-7622
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | PA.PA.70025946
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.PA.70025946
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License Number State | WA
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