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General NPI Number Information
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NPI Number | 1366739070
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Entity Type | Organization
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Legal Business Name | SWEDISH HEALTH SERVICES
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 751 NE BLAKELY DR
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City | ISSAQUAH
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State | WA
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Zip | 98029-6201
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Country | US
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Telephone | 425-313-5200
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Fax | 425-313-5201
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Provider Business Mailing Address
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Address Line | 751 NE BLAKELY DR
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City | ISSAQUAH
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State | WA
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Zip | 98029-6201
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Country | US
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Telephone | 425-313-5200
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Fax | 425-313-5201
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Authorized Official
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Title or Position | ASSISTANT SECREATRY FOR ENROLLMENT
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Name | DONALD WAYNE ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60227064
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License Number State | WA
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