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General NPI Number Information
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NPI Number | 1801186416
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL ARTS ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 6518 19TH ST W
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City | FIRCREST
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State | WA
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Zip | 98466-6129
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Country | US
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Telephone | 253-444-5072
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Fax | 253-444-5071
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Provider Business Mailing Address
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Address Line | 6518 19TH ST W
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City | FIRCREST
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State | WA
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Zip | 98466-6129
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Country | US
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Telephone | 253-444-5072
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Fax | 253-444-5071
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Authorized Official
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Title or Position | OWNER
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Name | ROXANNE J HO
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Credential | MD
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Telephone | 253-444-5072
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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 | MD00048903
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License Number State | WA
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