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General NPI Number Information
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NPI Number | 1861639965
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Entity Type | Organization
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Legal Business Name | SIVAD PRIMARY CARE AND ASSOCIATES P.C.
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 2044 EASTLAKE AVE E STE B
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City | SEATTLE
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State | WA
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Zip | 98102-3510
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Country | US
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Telephone | 803-318-5004
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Fax |
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Provider Business Mailing Address
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Address Line | 30213 33RD AVE SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-2322
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Country | US
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Telephone | 803-318-5004
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Fax |
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Authorized Official
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Title or Position | C.E.O. / FAMILY NURSE PRACTITIONER
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Name | ASKIA DAVIS
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Credential | M.S.N./ FAMILY PRACT
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Telephone | 803-318-5004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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