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General NPI Number Information
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NPI Number | 1508188566
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 1205 N 10TH ST STE A
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City | RENTON
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State | WA
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Zip | 98057-5577
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Country | US
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Telephone | 425-656-4211
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Fax | 425-656-4053
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Provider Business Mailing Address
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Address Line | PO BOX 34876
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City | SEATTLE
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State | WA
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Zip | 98124-1876
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Country | US
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Telephone | 425-656-4211
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Fax | 425-656-4053
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Authorized Official
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Title or Position | SR VICE PRESIDENT/CFO
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Name | LARRY SMITH
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Credential |
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Telephone | 425-656-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H-155
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | H-155
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H-155
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H-155
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License Number State | WA
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