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General NPI Number Information
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NPI Number | 1265506349
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Entity Type | Organization
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Legal Business Name | SEATTLE NUCLEAR MEDICINE-ULTRASOUND ASSOCIATES
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 1229 MADISON ST SUITE 1050
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City | SEATTLE
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State | WA
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Zip | 98104-3587
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Country | US
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Telephone | 206-386-6900
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Fax | 206-386-3965
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Provider Business Mailing Address
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Address Line | PO BOX 84988
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City | SEATTLE
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State | WA
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Zip | 98124-6288
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Country | US
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Telephone | 206-386-6900
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Fax | 206-386-3965
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DAVID HASELEY
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Credential | MD
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Telephone | 206-386-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 16301
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | WA
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