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General NPI Number Information
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NPI Number | 1487707287
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Entity Type | Individual
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Provider Name | MICHAEL P. MADWED M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 5316 RAINIER AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-2354
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Country | US
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Telephone | 206-721-5600
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Fax | 206-326-3825
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Provider Business Mailing Address
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Address Line | 5316 RAINIER AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-2354
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Country | US
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Telephone | 206-721-5600
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Fax | 206-326-3825
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD 00022791
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License Number State | WA
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