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General NPI Number Information
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NPI Number | 1417064643
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Entity Type | Organization
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Legal Business Name | OLYMPIC CLINICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 1550 N 115TH ST MAILSTOP E170
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City | SEATTLE
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State | WA
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Zip | 98133-8401
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Country | US
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Telephone | 206-368-1244
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Fax | 206-368-1270
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Provider Business Mailing Address
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Address Line | 18820 AURORA AVE N SUITE 104B
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City | SHORELINE
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State | WA
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Zip | 98133-3900
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Country | US
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Telephone | 206-542-7118
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Fax | 206-542-7338
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA ANN DOWNS
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Credential | A.R.N.P.
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Telephone | 425-275-7629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP30001778
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License Number State | WA
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