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General NPI Number Information
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NPI Number | 1649455734
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Entity Type | Organization
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Legal Business Name | SEATTLE HEAD, NECK & PLASTIC SURGEONS, PLLC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 515 MINOR AVE SUITE 140
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City | SEATTLE
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State | WA
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Zip | 98104-2120
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Country | US
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Telephone | 206-838-8345
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Fax | 206-682-3511
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Provider Business Mailing Address
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Address Line | 515 MINOR AVE SUITE 140
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City | SEATTLE
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State | WA
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Zip | 98104-2120
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Country | US
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Telephone | 206-838-8345
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Fax | 206-682-3511
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEBBIE PERDUE
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Credential |
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Telephone | 206-838-8345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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