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General NPI Number Information
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NPI Number | 1902092182
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Entity Type | Organization
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Legal Business Name | PATRICIA L PADDISON, MD, PLLC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 1400 112TH AVE SE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98004-6901
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Country | US
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Telephone | 425-455-2526
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Fax | 425-484-2200
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Provider Business Mailing Address
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Address Line | 1400 112TH AVE SE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98004-6901
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Country | US
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Telephone | 425-455-2526
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Fax | 425-484-2200
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | PATRICIA L PADDISON, MD, PLLC
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Credential | MD
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Telephone | 425-455-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 28129
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License Number State | WA
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