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NPI 1639707417

NPI 1639707417 : JOANNA POCETA MD : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1639707417
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    Entity Type          |    Individual 
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    Provider Name        |    JOANNA POCETA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/29/2020
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    1801 NW MARKET ST STE 207 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98107-3909
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    Country              |    US
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    Telephone            |    206-320-7288
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    Fax                  |    206-320-7289
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD61325077
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    207QA0401X
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    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
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    License Number       |    MD61325077
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    License Number State |    WA
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