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General NPI Number Information
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NPI Number | 1588619415
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Entity Type | Individual
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Provider Name | HELEN SHIRLEY KORMAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 11 80 8 NORTHUP WAY W-300
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City | BELLEVUE
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State | WA
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Zip | 98005
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Country | US
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Telephone | 425-284-1548
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Fax | 425-254-1546
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Provider Business Mailing Address
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Address Line | 34515 9TH AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98003
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Country | US
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Telephone | 253-944-7979
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Fax | 206-275-3695
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00041458
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License Number State | WA
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