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General NPI Number Information
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NPI Number | 1942384391
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Entity Type | Individual
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Provider Name | MARCO A. SOBRINO M.D., F.A.C.S.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 04/26/2010
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Provider Practice Location Address
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Address Line | 16122 8TH AVE SW SUITE D1
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City | BURIEN
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State | WA
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Zip | 98166-2967
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Country | US
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Telephone | 206-244-1680
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Fax | 206-243-8845
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Provider Business Mailing Address
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Address Line | 1310 116TH AVE NE SUITE A
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City | BELLEVUE
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State | WA
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Zip | 98004-3817
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Country | US
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Telephone | 425-296-0010
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Fax | 425-454-1124
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 40371
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD00039788
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25459
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License Number State | OK
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