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General NPI Number Information
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NPI Number | 1710105010
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WASHINGTON
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST BOX 357110
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 206-616-8900
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Fax | 206-616-8911
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Provider Business Mailing Address
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Address Line | PO BOX 24366
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City | SEATTLE
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State | WA
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Zip | 98124-0366
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Country | US
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Telephone | 206-598-0502
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Fax | 206-598-0516
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER LABMED
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Name | MARCELO COLLANTES
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Credential |
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Telephone | 206-616-8886
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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 | H-128
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License Number State | WA
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