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General NPI Number Information
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NPI Number | 1356500995
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WASHINGTON
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 1107 NE 45TH STREET SUITE 440
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City | WASHINGTON
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State | WA
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Zip | 98195-4807
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Country | US
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Telephone | 617-959-7095
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Fax |
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Provider Business Mailing Address
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Address Line | 511 E ROY ST APTO 304
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City | SEATTLE
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State | WA
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Zip | 98102-5945
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Country | US
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Telephone | 617-959-7095
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Fax |
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Authorized Official
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Title or Position | CLINICAL FELLOW
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Name | DR. GEORGE RACHID DE OLIVEIRA
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Credential | MD
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Telephone | 617-959-7095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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