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NPI 1609932102

NPI 1609932102 : PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY : RENTON, WA

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General NPI Number Information
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    NPI Number           |    1609932102
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    Entity Type          |    Organization 
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    Legal Business Name  |    PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    01/15/2008
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Provider Practice Location Address
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    Address Line         |    4033 TALBOT RD S STE 560
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98055-5772
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    Country              |    US
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    Telephone            |    425-251-5111
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    Fax                  |    425-656-5387
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Provider Business Mailing Address
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    Address Line         |    3915 TALBOT RD S STE 100
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98055-5738
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    Country              |    US
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    Telephone            |    425-656-5412
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    Fax                  |    425-656-4079
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     MICHAEL I BERNSTEIN 
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    Credential           |    
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    Telephone            |    425-656-5565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    H-155
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    License Number State |    WA
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