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General NPI Number Information
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NPI Number | 1841379369
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Entity Type | Organization
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Legal Business Name | SEATTLE EAR NOSE THROAT TR
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 10330 MERIDIAN AVE N SUITE 190
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City | SEATTLE
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State | WA
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Zip | 98133-9451
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Country | US
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Telephone | 206-389-7100
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Fax | 206-389-7101
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Provider Business Mailing Address
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Address Line | PO BOX 3129
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City | LYNNWOOD
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State | WA
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Zip | 98046-3129
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Country | US
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Telephone | 425-712-3417
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Fax | 425-712-3710
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Authorized Official
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Title or Position | PHYSICIAN
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Name | KAREN LIN
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Credential | MD
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Telephone | 206-389-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD00045832
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License Number State | WA
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