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General NPI Number Information
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NPI Number | 1770503211
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Entity Type | Organization
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Legal Business Name | WASHINGTON HEALTHCARE
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1162 INDUSTRY DR BUILDING 42
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City | TUKWILA
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State | WA
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Zip | 98188-4803
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Country | US
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Telephone | 206-243-6664
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Fax | 206-241-4483
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Provider Business Mailing Address
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Address Line | 1162 INDUSTRY DR BUILDING 42
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City | TUKWILA
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State | WA
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Zip | 98188-4803
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Country | US
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Telephone | 206-243-6664
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Fax | 206-241-4483
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRADLEY D SCOTT
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Credential |
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Telephone | 425-241-1452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 06-2083
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License Number State | WA
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