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General NPI Number Information
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NPI Number | 1912010729
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Entity Type | Organization
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Legal Business Name | VALLEY WOMEN'S CLINIC PLLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 16850 SE 272ND ST STE 250
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City | COVINGTON
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State | WA
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Zip | 98042-4931
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Country | US
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Telephone | 253-630-3644
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Fax | 253-630-3877
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Provider Business Mailing Address
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Address Line | 17722 TALBOT RD S
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City | RENTON
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State | WA
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Zip | 98055-5744
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Country | US
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Telephone | 425-228-0722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA SLEETER
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Credential | MD
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Telephone | 425-228-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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