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General NPI Number Information
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NPI Number | 1467717579
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Entity Type | Organization
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Legal Business Name | VIRGINIA MASON MEDICAL CENTER
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 1100 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98101-2756
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Country | US
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Telephone | 206-340-0640
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Fax |
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Provider Business Mailing Address
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Address Line | 21132 MERIDIAN PL W
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City | BOTHELL
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State | WA
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Zip | 98021-6279
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Country | US
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Telephone | 425-501-4212
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Fax |
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Authorized Official
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Title or Position | PHARMACY TECHNINIAN
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Name | MRS. TINA A PALMER
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Credential |
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Telephone | 206-340-0640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | VA00019685
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License Number State | WA
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