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General NPI Number Information
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NPI Number | 1760774285
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Entity Type | Individual
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Provider Name | EMILY DY
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Gender | Female
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 3925 159TH AVENUE NE BLD 21
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City | SEATTLE
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State | WA
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Zip | 98121
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Country | US
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Telephone | 425-215-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 159TH AVE NE BLDG 21
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City | REDMOND
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State | WA
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Zip | 98052-6309
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OT014382
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 60605790
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License Number State | WA
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