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General NPI Number Information
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NPI Number | 1720029028
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Entity Type | Organization
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Legal Business Name | SWEDISH HEALTH SERVICES
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 550 17TH AVE FL 6
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City | SEATTLE
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State | WA
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Zip | 98122-5788
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Country | US
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Telephone | 206-215-4545
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Fax | 206-215-4550
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-320-5340
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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