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General NPI Number Information
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NPI Number | 1568775500
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Entity Type | Organization
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Legal Business Name | JOHN VERRILLI, MD PLLC
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 600 BROADWAY SUITE 270
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City | SEATTLE
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State | WA
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Zip | 98122-5395
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Country | US
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Telephone | 206-215-2288
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Fax | 206-215-2289
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Provider Business Mailing Address
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Address Line | 600 BROADWAY SUITE 270
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City | SEATTLE
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State | WA
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Zip | 98122-5395
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Country | US
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Telephone | 206-215-2288
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Fax | 206-215-2289
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Authorized Official
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Title or Position | M.D.
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Name | JOHN VERRILLI
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Credential | M.D.
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Telephone | 206-954-3423
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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 | MD00014046
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License Number State | WA
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