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General NPI Number Information
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NPI Number | 1699894022
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Entity Type | Organization
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Legal Business Name | SWEDISH EDMONDS
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 21601 76TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7507
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Country | US
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Telephone | 425-640-4750
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Fax | 425-640-4680
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Provider Business Mailing Address
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Address Line | 21601 76TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7507
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Country | US
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Telephone | 425-640-4750
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Fax | 425-640-4680
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Authorized Official
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Title or Position | ASSISTANT SECREATRY FOR ENROLLMENT
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Name | MR. DONALD WAYNE ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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