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General NPI Number Information
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NPI Number | 1689896102
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Entity Type | Organization
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Legal Business Name | SEATTLE CENTRAL COMMUNITY COLLEGE
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 2120 S JACKSON ST 4TH FLOOR
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City | SEATTLE
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State | WA
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Zip | 98144-2219
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Country | US
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Telephone | 206-344-4423
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Fax | 206-516-3196
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Provider Business Mailing Address
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Address Line | 1701 BROADWAY BE3210
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City | SEATTLE
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State | WA
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Zip | 98122-2413
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Country | US
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Telephone | 206-587-6922
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Fax | 206-587-6337
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MILDRED OLLEE
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Credential |
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Telephone | 206-587-4144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DE00010635
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License Number State | WA
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