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General NPI Number Information
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NPI Number | 1730267337
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Entity Type | Individual
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Provider Name | REGAN S. FULTON MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 551 N 34TH ST STE 100
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City | SEATTLE
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State | WA
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Zip | 98103-8675
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Country | US
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Telephone | 206-374-9000
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Fax | 206-774-3412
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Provider Business Mailing Address
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Address Line | 551 N 34TH ST STE 100
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City | SEATTLE
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State | WA
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Zip | 98103-8675
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Country | US
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Telephone | 206-374-9000
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Fax | 206-774-3412
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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 | 207ZI0100X
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Taxonomy Name | Immunopathology Physician
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License Number | A65436
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License Number State | CA
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