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General NPI Number Information
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NPI Number | 1821045972
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Entity Type | Individual
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Provider Name | TRISHA LEE POLLARA MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/21/2008
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Provider Practice Location Address
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Address Line | 7203 129TH AVE SE STE 200
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City | NEWCASTLE
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State | WA
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Zip | 98056-1412
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Country | US
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Telephone | 425-656-5428
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Fax | 425-656-5427
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Provider Business Mailing Address
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Address Line | 3600 LIND AVE SW STE 100
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City | RENTON
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State | WA
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Zip | 98057-4934
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Country | US
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Telephone | 425-656-5412
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Fax | 425-656-4079
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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 | MD00045602
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License Number State | WA
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