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General NPI Number Information
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NPI Number | 1386088482
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Entity Type | Individual
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Provider Name | DAVID CARRICK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST BOX 356100
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City | SEATTLE
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State | WA
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Zip | 98195-6100
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Country | US
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Telephone | 650-898-7443
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 357470
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City | SEATTLE
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State | WA
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Zip | 98195-7470
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Country | US
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Telephone |
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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 | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | ML60376210
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License Number State | WA
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