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General NPI Number Information
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NPI Number | 1598873606
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Entity Type | Organization
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Legal Business Name | NORTH SEATTLE WOMEN SPECIALISTS
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 1801 NW MARKET ST SUITE 100
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City | SEATTLE
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State | WA
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Zip | 98107-3987
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Country | US
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Telephone | 206-782-9335
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Fax | 206-781-8713
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Provider Business Mailing Address
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Address Line | 1801 NW MARKET ST SUITE 100
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City | SEATTLE
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State | WA
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Zip | 98107-3987
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Country | US
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Telephone | 206-782-9335
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Fax | 206-781-8713
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN F SLACK
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Credential | M.D.
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Telephone | 206-782-9335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 601245042
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License Number State | WA
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