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General NPI Number Information
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NPI Number | 1245506880
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Entity Type | Organization
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Legal Business Name | PETER E SEDA MD FACC PS MID COLUMBIA HEART AND LUNG INSTITUTE
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 309 BRADLEY BLVD STE 205
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City | RICHLAND
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State | WA
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Zip | 99352-4381
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Country | US
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Telephone | 509-943-3177
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Fax | 509-946-6576
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Provider Business Mailing Address
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Address Line | 309 BRADLEY BLVD STE 205
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City | RICHLAND
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State | WA
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Zip | 99352-4381
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Country | US
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Telephone | 509-943-3177
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Fax | 509-946-6576
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Authorized Official
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Title or Position | NURSE CODER
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Name | MRS. JOAN E SEDA
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Credential | RN BSN CPC
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Telephone | 509-943-3177
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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 | MD00013994
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License Number State | WA
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