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General NPI Number Information
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NPI Number | 1932274248
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Entity Type | Individual
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Provider Name | JULIE WEN MD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22635 MARKET PLACE DRIVE SUITE #120
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City | REDMOND
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State | WA
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Zip | 98053
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Country | US
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Telephone | 425-898-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 14711 NE 29TH PL SUITE #255
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City | BELLEVUE
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State | WA
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Zip | 98007-7666
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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 |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD00044842
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License Number State | WA
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