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General NPI Number Information
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NPI Number | 1598930471
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Entity Type | Individual
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Provider Name | YONGDONG ZHAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE, M/S MA7.110
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City | SEATTLE
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State | WA
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Zip | 98105
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Country | US
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Telephone | 206-987-2057
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Fax | 206-987-5060
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Provider Business Mailing Address
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Address Line | 4800 SAND POINT WAY NE M.A. 7.110
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City | SEATTLE
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State | WA
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Zip | 98105-2601
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Country | US
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Telephone | 206-987-2057
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Fax | 206-987-5060
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD60329823
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD443409
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 26318
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | MD60329823
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License Number State | WA
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