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General NPI Number Information
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NPI Number | 1487688073
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Entity Type | Organization
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Legal Business Name | MY FAMILY DOCTOR LLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/27/2024
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Provider Practice Location Address
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Address Line | 3623 SW ALASKA ST
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City | SEATTLE
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State | WA
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Zip | 98126-2732
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Country | US
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Telephone | 206-362-8674
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Fax | 206-935-1425
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Provider Business Mailing Address
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Address Line | PO BOX 16469
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City | SEATTLE
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State | WA
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Zip | 98116-0469
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Country | US
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Telephone | 206-362-8674
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERRILL HARRINGTON
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Credential | MD
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Telephone | 206-362-8674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00038084
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License Number State | WA
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