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General NPI Number Information
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NPI Number | 1871441576
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Entity Type | Organization
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Legal Business Name | BEATTY AND COTTAM PLLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 4744 41ST AVE SW STE 107
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City | SEATTLE
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State | WA
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Zip | 98116-4566
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Country | US
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Telephone | 206-938-8572
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Fax |
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Provider Business Mailing Address
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Address Line | 15515 3RD AVE SW STE E
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City | BURIEN
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State | WA
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Zip | 98166-2553
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Country | US
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Telephone | 206-258-2010
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SARA M CROSBY
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Credential |
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Telephone | 206-258-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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