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General NPI Number Information
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NPI Number | 1467566828
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Entity Type | Organization
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Legal Business Name | RETINA CONSULTANTS OF SEATTLE, PC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 1530 N 115TH ST SUITE 105
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City | SEATTLE
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State | WA
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Zip | 98133-8411
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Country | US
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Telephone | 206-363-7035
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 N 115TH ST SUITE 105
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City | SEATTLE
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State | WA
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Zip | 98133-8411
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Country | US
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Telephone | 206-363-7035
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KRIS STOLMEIER
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Credential | M.S.
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Telephone | 206-363-7035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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