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General NPI Number Information
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NPI Number | 1265465793
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Entity Type | Organization
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Legal Business Name | SAMUEL Y SHIU
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 1940 116TH AVE NE STE 200
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City | BELLEVUE
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State | WA
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Zip | 98004-3074
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Country | US
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Telephone | 425-462-7333
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Fax | 425-462-5641
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Provider Business Mailing Address
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Address Line | 1940 116TH AVE NE STE 200
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City | BELLEVUE
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State | WA
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Zip | 98004-3074
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Country | US
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Telephone | 425-462-7333
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Fax | 425-462-5641
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMUEL Y SHIU
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Credential | M.D.
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Telephone | 425-462-7333
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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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