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General NPI Number Information
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NPI Number | 1659992303
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Entity Type | Individual
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Provider Name | DESIREE ALBANO DO
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Gender | Female
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 900 PACIFIC AVE STE 501
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City | EVERETT
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State | WA
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Zip | 98201-4189
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Country | US
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Telephone | 425-258-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 900 PACIFIC AVE STE 501
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City | EVERETT
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State | WA
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Zip | 98201-4189
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Country | US
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Telephone | 425-258-7550
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5151014349
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License Number State | MI
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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 | OP61548156
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License Number State | WA
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