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General NPI Number Information
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NPI Number | 1902005549
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Entity Type | Individual
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Provider Name | JENNY RORABACK-CARSON MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | HARBORVIEW SENIOR CARE CLINIC (3WC) 325 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-744-5415
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Fax | 206-744-3270
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Provider Business Mailing Address
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Address Line | BOX 359753 325 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone |
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Fax | 206-744-3270
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60100998
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD60100998
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License Number State | WA
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