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General NPI Number Information
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NPI Number | 1568430908
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Entity Type | Individual
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Provider Name | SWEE LIAN TAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 515 MINOR AVE STE 240
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City | SEATTLE
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State | WA
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Zip | 98104-2133
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Country | US
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Telephone | 206-420-3119
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Fax | 206-453-5912
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Provider Business Mailing Address
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Address Line | PO BOX 22152
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City | SEATTLE
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State | WA
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Zip | 98122-0152
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Country | US
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Telephone | 206-420-3119
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Fax | 206-453-5912
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD00043254
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License Number State | WA
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