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General NPI Number Information
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NPI Number | 1447488176
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Entity Type | Individual
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Provider Name | MICHAEL VASILE BOTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1135 116TH AVE NE STE 450
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City | BELLEVUE
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State | WA
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Zip | 98004-4623
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Country | US
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Telephone | 425-289-3130
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-8800
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD60916769
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License Number State | WA
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