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NPI 1417968470

NPI 1417968470 : OLYMPIC RADIOLOGY ASSOCIATES INC PS : BREMERTON, WA

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General NPI Number Information
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    NPI Number           |    1417968470
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    Entity Type          |    Organization 
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    Legal Business Name  |    OLYMPIC RADIOLOGY ASSOCIATES INC PS 
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Dates
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    Enumeration Date     |    08/11/2006
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    Last Update Date     |    04/12/2011
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Provider Practice Location Address
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    Address Line         |    2700 CLARE AVE 
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    City                 |    BREMERTON
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    State                |    WA
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    Zip                  |    98310-3330
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    Country              |    US
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    Telephone            |    360-479-6555
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    Fax                  |    360-479-8327
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Provider Business Mailing Address
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    Address Line         |    2700 CLARE AVE 
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    City                 |    BREMERTON
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    State                |    WA
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    Zip                  |    98310-3330
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    Country              |    US
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    Telephone            |    360-479-6555
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    Fax                  |    360-479-8327
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    MR. STEVEN A BELL 
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    Credential           |    MD
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    Telephone            |    360-479-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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