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General NPI Number Information
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NPI Number | 1306217039
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Entity Type | Organization
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Legal Business Name | FIRST HILL SURGERY CENTER LLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 1101 MADISON ST SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98104-1306
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Country | US
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Telephone | 206-320-7750
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Fax | 206-720-7755
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Provider Business Mailing Address
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Address Line | 1101 MADISON ST SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98104-1306
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Country | US
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Telephone | 206-320-7750
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Fax | 206-720-7755
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHAEL MCCLAIN
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Credential |
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Telephone | 206-320-6363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | WA
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