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General NPI Number Information
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NPI Number | 1831341569
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Entity Type | Organization
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Legal Business Name | BALLARD WOMEN'S HEALTH
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 10/13/2008
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Provider Practice Location Address
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Address Line | 5410 BARNES AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-3839
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Country | US
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Telephone | 206-784-0810
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Fax | 206-784-2250
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Provider Business Mailing Address
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Address Line | 5410 BARNES AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-3839
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Country | US
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Telephone | 206-784-0810
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Fax | 206-784-2250
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PETER BRANDON
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Credential | M.D.
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Telephone | 206-784-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD00029025
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License Number State | WA
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