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General NPI Number Information
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NPI Number | 1750921193
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Entity Type | Organization
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Legal Business Name | BASTION HEALTH PC
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 555 ANDOVER PARK W STE 200
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City | TUKWILA
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State | WA
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Zip | 98188-3379
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Country | US
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Telephone | 888-674-5871
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 801280
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City | KANSAS CITY
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State | MO
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Zip | 64180-1280
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Country | US
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Telephone | 888-674-5871
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MARGARET ADAM
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Credential | MD
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Telephone | 253-340-3980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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