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General NPI Number Information
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NPI Number | 1720288376
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Entity Type | Individual
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Provider Name | NICOLE SMITH SAINT CLAIR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 161 30TH AVE
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City | SEATTLE
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State | WA
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Zip | 98122-6205
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Country | US
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Telephone | 206-328-5691
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Fax |
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Provider Business Mailing Address
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Address Line | 161 30TH AVE
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City | SEATTLE
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State | WA
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Zip | 98122-6205
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Country | US
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Telephone | 206-328-5691
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60024605
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License Number State | WA
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