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General NPI Number Information
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NPI Number | 1316948904
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Entity Type | Individual
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Provider Name | JAMES H PETRIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 8301 161ST AVE NE STE 108
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City | REDMOND
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State | WA
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Zip | 98052-3858
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Country | US
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Telephone | 425-485-7985
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Fax | 425-483-2375
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Provider Business Mailing Address
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Address Line | 8301 161ST AVE NE STE 108
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City | REDMOND
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State | WA
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Zip | 98052-3858
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Country | US
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Telephone | 425-485-7985
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Fax | 425-483-2375
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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 | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | MD00035810
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD00035810
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License Number State | WA
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