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General NPI Number Information
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NPI Number | 1346692241
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Entity Type | Organization
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Legal Business Name | NORTHWEST GLAUCOMA AND CATARACT CONSULTANTS LLC
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 1229 MADISON ST STE 1250
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City | SEATTLE
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State | WA
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Zip | 98104-3568
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Country | US
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Telephone | 425-740-2093
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Fax | 425-740-2944
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Provider Business Mailing Address
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Address Line | 1229 MADISON ST STE 1250
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City | SEATTLE
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State | WA
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Zip | 98104-3568
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Country | US
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Telephone | 425-740-2093
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Fax | 425-740-2944
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Authorized Official
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Title or Position | BILLING
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Name | ANGEL CHAFFIN
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Credential |
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Telephone | 425-740-2093
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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 |
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License Number State |
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