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General NPI Number Information
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NPI Number | 1689912859
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Entity Type | Organization
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Legal Business Name | SEATTLE PAIN AND WELLNESS INSTITUTE
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 4701 41ST AVE., SW SUITE 120
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City | SEATTLE
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State | WA
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Zip | 98116
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Country | US
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Telephone | 502-523-3846
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 41ST AVE SW SUITE120
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City | SEATTLE
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State | WA
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Zip | 98116-4597
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LARRY ZHOU
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Credential | M.D.
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Telephone | 502-523-3846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 60084653
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License Number State | WA
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