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General NPI Number Information
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NPI Number | 1912927468
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Entity Type | Organization
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Legal Business Name | SEATTLE OPHTHALMIC CONSULTANTS PS
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 600 BROADWAY STE 100
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City | SEATTLE
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State | WA
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Zip | 98122-5395
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Country | US
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Telephone | 206-328-7614
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Fax | 206-328-6280
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Provider Business Mailing Address
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Address Line | 600 BROADWAY STE 100
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City | SEATTLE
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State | WA
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Zip | 98122-5395
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Country | US
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Telephone | 206-328-7614
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Fax | 206-328-6280
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Authorized Official
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Title or Position | PRESIDENT
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Name | AGNES HUANG
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Credential | MD
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Telephone | 206-328-7614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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