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General NPI Number Information
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NPI Number | 1831455765
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSOICATES NORTHWEST
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 34612 6TH AVE S SUITE 100
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8723
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Country | US
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Telephone | 253-237-0470
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Fax |
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Provider Business Mailing Address
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Address Line | 34612 6TH AVE S SUITE 100
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8723
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Country | US
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Telephone | 253-237-0470
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | PAMELA STANFILL
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Credential |
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Telephone | 253-237-0470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | WA
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