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General NPI Number Information
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NPI Number | 1275564155
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Entity Type | Individual
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Provider Name | ROSEMARY AGOSTINI MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 1100 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98101-2756
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Country | US
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Telephone | 206-223-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 11511 NE 10TH ST
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City | BELLEVUE
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State | WA
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Zip | 98004-8578
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Country | US
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Telephone | 425-502-3589
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Fax | 425-502-3589
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD00024630
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License Number State | WA
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