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General NPI Number Information
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NPI Number | 1912989062
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Entity Type | Individual
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Provider Name | MARC MAUNEY MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1001 KLICKITAT WAY SW #205 PUGET SOUND INSTITUTE OF PATHOLOGY
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City | SEATTLE
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State | WA
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Zip | 98134
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Country | US
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Telephone | 206-622-7747
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Fax | 206-467-1470
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Provider Business Mailing Address
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Address Line | PO BOX 34245 PSIP
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City | SEATTLE
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State | WA
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Zip | 98124-1245
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Country | US
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Telephone | 206-622-7747
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Fax | 206-467-1470
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | MD00021445
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD00021445
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License Number State | WA
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