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General NPI Number Information
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NPI Number | 1942392709
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Entity Type | Individual
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Provider Name | TODD DAVID BETHEL MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 1125 8TH AVE NE
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City | ISSAQUAH
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State | WA
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Zip | 98029-5035
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Country | US
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Telephone | 239-287-1154
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 8TH AVE NE
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City | ISSAQUAH
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State | WA
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Zip | 98029-5035
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Country | US
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Telephone | 239-287-1154
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME93270
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD61413019
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License Number State | WA
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