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General NPI Number Information
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NPI Number | 1275586125
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Entity Type | Organization
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Legal Business Name | OLYMPIC ANESTHESIA SERVICES, INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 990 SYLVAN WAY
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City | BREMERTON
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State | WA
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Zip | 98310-2851
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Country | US
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Telephone | 360-479-3657
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Fax | 425-609-0599
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Provider Business Mailing Address
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Address Line | PO BOX 94704
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City | SEATTLE
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State | WA
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Zip | 98124-7004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD G WAYNE
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Credential | MD
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Telephone | 360-479-3657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 181011718
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License Number State | WA
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