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General NPI Number Information
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NPI Number | 1346545407
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Entity Type | Individual
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Provider Name | DARCEE MAE NETH LMP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 417 E PINE ST SUITE P
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City | SEATTLE
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State | WA
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Zip | 98122-2395
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Country | US
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Telephone | 206-708-6472
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Fax |
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Provider Business Mailing Address
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Address Line | 201 YESLER WAY # 503
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 541-408-3278
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 6177965
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License Number State | WA
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