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General NPI Number Information
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NPI Number | 1285827097
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Entity Type | Organization
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Legal Business Name | SEATTLE KING COUNTY DEPT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 401 5TH AVE # 1200
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City | SEATTLE
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State | WA
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Zip | 98104-2333
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Country | US
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Telephone | 206-263-8673
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Fax |
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Provider Business Mailing Address
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Address Line | 401 5TH AVE # 1200
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City | SEATTLE
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State | WA
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Zip | 98104-2333
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Country | US
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Telephone | 206-263-8673
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGEMENT ADMINISTRATOR
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Name | KEVIN ARDELL MOE
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Credential |
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Telephone | 206-263-8807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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