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General NPI Number Information
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NPI Number | 1568469534
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Entity Type | Individual
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Provider Name | XINGWEI DAVID SUI MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 4525 3RD AVE SE SUITE 200
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City | LACEY
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State | WA
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Zip | 98503-1010
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Country | US
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Telephone | 360-754-3934
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Fax | 360-943-8023
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Provider Business Mailing Address
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Address Line | PO BOX 3360 SUITE 200
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City | PORTLAND
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State | OR
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Zip | 97208-3360
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Country | US
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Telephone | 360-754-3934
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Fax |
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD00042261
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License Number State | WA
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