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General NPI Number Information
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NPI Number | 1326193905
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Entity Type | Organization
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Legal Business Name | AMBULATORY ANESTHESIA CONSULTANTS PLLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17700 SE 272ND ST SUITE 175
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City | COVINGTON
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State | WA
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Zip | 98042-4951
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Country | US
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Telephone | 253-372-7160
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24477
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City | SEATTLE
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State | WA
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Zip | 98124-0477
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Country | US
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Telephone | 425-353-3788
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Fax | 425-353-8041
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Authorized Official
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Title or Position | PROVIDER
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Name | DOUGLASS WILLIAMS
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Credential | MD
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Telephone | 253-588-7911
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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 |
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License Number State |
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