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General NPI Number Information
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NPI Number | 1902447386
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Entity Type | Organization
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Legal Business Name | SEATTLE PAIN RELIEF PLLC
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 35002 PACIFIC HWY S STE A105
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8366
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Country | US
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Telephone | 253-944-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 10564 5TH AVE NE STE 304
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City | SEATTLE
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State | WA
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Zip | 98125-7200
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M BIRDSALL
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Credential |
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Telephone | 253-944-1289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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