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General NPI Number Information
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NPI Number | 1699952911
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Entity Type | Organization
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Legal Business Name | SEATTLE ANESTHESIOLOGISTS, PS
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 1550 N 115TH ST
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City | SEATTLE
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State | WA
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Zip | 98133-8401
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Country | US
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Telephone | 206-364-0500
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Fax | 425-353-8041
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Provider Business Mailing Address
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Address Line | PO BOX 84858
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City | SEATTLE
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State | WA
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Zip | 98124-6158
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Country | US
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Telephone | 425-353-3788
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Fax | 425-353-8041
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK CHIVERS
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Credential | MD
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Telephone | 425-353-3788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 602795859
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License Number State | WA
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