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General NPI Number Information
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NPI Number | 1558417964
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Entity Type | Organization
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Legal Business Name | ORTHOPEDICS INTERNATIONAL LTD PS
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 600 BROADWAY SUITE 460
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City | SEATTLE
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State | WA
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Zip | 98122-5312
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Country | US
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Telephone | 206-329-0585
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Fax | 206-324-6925
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Provider Business Mailing Address
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Address Line | 901 BOREN AVE SUITE 800
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City | SEATTLE
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State | WA
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Zip | 98104-3534
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Country | US
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Telephone | 206-329-0585
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Fax | 206-324-6925
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCO N WEN
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Credential | MD
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Telephone | 206-329-0585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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