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General NPI Number Information
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NPI Number | 1639445323
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Entity Type | Individual
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Provider Name | SHANNON VALURRIE PADGETT MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 12/07/2024
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Provider Practice Location Address
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Address Line | 1101 MADISON ST STE 700
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City | SEATTLE
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State | WA
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Zip | 98104-3599
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Country | US
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Telephone | 206-215-6300
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Fax | 206-215-6301
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | MD60957759
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0056077
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License Number State | CO
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