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General NPI Number Information
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NPI Number | 1578833489
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Entity Type | Organization
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Legal Business Name | WASHINGTON CENTER FOR PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 1900 116TH AVE NE SUITE 100
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City | BELLEVUE
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State | WA
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Zip | 98004-3052
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Country | US
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Telephone | 425-774-1538
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Fax | 425-774-5171
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Provider Business Mailing Address
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Address Line | PO BOX 827
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City | BELLEVUE
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State | WA
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Zip | 98009-0827
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Country | US
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Telephone | 425-774-1538
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Fax | 425-774-5171
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. HYUN J HONG
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Credential | M.D.
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Telephone | 425-774-1538
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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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