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General NPI Number Information
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NPI Number | 1700990918
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Entity Type | Organization
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Legal Business Name | WASHINGTON CANCER CENTERS PC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 21605 76TH AVE W STE # 200
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City | EDMONDS
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State | WA
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Zip | 98026-7514
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Country | US
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Telephone | 425-775-1677
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Fax | 425-778-1635
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Provider Business Mailing Address
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Address Line | 1560 N 115TH ST G-16
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City | SEATTLE
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State | WA
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Zip | 98133-8414
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Country | US
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Telephone | 206-362-1577
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Fax | 206-367-7176
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DENISE PARKINSON
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Credential |
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Telephone | 425-775-1677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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