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General NPI Number Information
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NPI Number | 1306123948
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Entity Type | Organization
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Legal Business Name | NWH&MC SURGICAL PRE-OP CLINIC TR
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 1536 N 115TH ST SUITE 320
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City | SEATTLE
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State | WA
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Zip | 98133-8400
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Country | US
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Telephone | 206-368-3075
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Fax | 206-368-3074
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Provider Business Mailing Address
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Address Line | 1536 N 115TH ST SUITE 320
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City | SEATTLE
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State | WA
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Zip | 98133-8400
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Country | US
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Telephone | 206-368-3075
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Fax | 206-368-3074
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Authorized Official
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Title or Position | PRES/CEO
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Name | CHARLES WILLIAM SCHNEIDER
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Credential |
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Telephone | 206-368-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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