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General NPI Number Information
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NPI Number | 1568485761
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Entity Type | Organization
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Legal Business Name | TIROG AT VALLEY PLLC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 400 S 43RD ST
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City | RENTON
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State | WA
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Zip | 98055-5714
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Country | US
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Telephone | 425-251-5121
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Fax | 425-656-4072
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Provider Business Mailing Address
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Address Line | 1221 MADISON STREET FIRST FLOOR
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City | SEATTLE
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State | WA
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Zip | 98104-3589
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Country | US
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Telephone | 206-215-6251
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Fax | 206-215-6345
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | TODD BARNETT
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Credential | MD
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Telephone | 206-386-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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