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General NPI Number Information
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NPI Number | 1902868797
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Entity Type | Organization
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Legal Business Name | SW SEATTLE AMBULATORY SURGERY, LLC
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 275 SW 160TH ST SUITE 200
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City | BURIEN
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State | WA
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Zip | 98166-3003
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Country | US
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Telephone | 206-988-0927
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Fax | 206-988-0921
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Provider Business Mailing Address
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Address Line | PO BOX 960
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City | CENTRALIA
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State | WA
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Zip | 98531-0960
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Country | US
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Telephone | 360-736-0928
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Fax | 360-736-0921
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JOHN LOMBARDI
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Credential | MD
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Telephone | 206-243-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | WA
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