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General NPI Number Information
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NPI Number | 1629150438
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Entity Type | Individual
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Provider Name | BESSIE YOUNG MIELCAREK MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY # 111A VA PUGET SOUND HEALTH CARE SYSTEM, RDU-111A
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-277-3586
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Fax | 206-764-2022
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Provider Business Mailing Address
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Address Line | 6530 SYCAMORE AVE NW
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City | SEATTLE
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State | WA
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Zip | 98117-4846
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Country | US
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Telephone | 206-720-9877
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 26872
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 26872
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License Number State | WA
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