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General NPI Number Information
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NPI Number | 1720772387
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Entity Type | Organization
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Legal Business Name | UMBRELLA PEDIATRICS PC
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 23511 56TH AVE W STE 105
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-5285
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Country | US
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Telephone | 206-546-2421
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Fax | 206-542-9028
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Provider Business Mailing Address
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Address Line | 4800 SAND POINT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-2000
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Fax |
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Authorized Official
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Title or Position | VP REV CYCLE & HEALTH INFO INTEG
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Name | SUZANNE VANDERWERFF
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Credential |
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Telephone | 206-987-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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