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General NPI Number Information
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NPI Number | 1346450376
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Entity Type | Individual
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Provider Name | BETHLEHEM BELACHEW M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 33501 1ST WAY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6208
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Country | US
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Telephone | 253-838-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 9TH AVE M4-PFS
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City | SEATTLE
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State | WA
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Zip | 98101-2756
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Country | US
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Telephone | 206-515-5811
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2010015926
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2007012432
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10025263
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD60981640
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License Number State | WA
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