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General NPI Number Information
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NPI Number | 1699253112
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Entity Type | Organization
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Legal Business Name | ADVANCED INTEGRATIVE MEDICINE OF SEATTLE INSTITUTE, PLLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 2825 EASTLAKE AVE E STE 115
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City | SEATTLE
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State | WA
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Zip | 98102-3084
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Country | US
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Telephone | 206-795-0697
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Fax | 844-668-4622
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Provider Business Mailing Address
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Address Line | 2825 EASTLAKE AVE E STE 115
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City | SEATTLE
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State | WA
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Zip | 98102-3084
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Country | US
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Telephone | 206-420-1321
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Fax | 833-584-0067
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Authorized Official
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Title or Position | MBR
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Name | SUNIL K AGGARWAL
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Credential | MD
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Telephone | 206-420-1321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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