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General NPI Number Information
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NPI Number | 1942520366
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Entity Type | Organization
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Legal Business Name | MARK H TSENG MD PC
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 121 N DIVISION ST SUITE 300
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City | AUBURN
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State | WA
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Zip | 98001-4931
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Country | US
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Telephone | 253-736-2818
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Fax | 888-801-8031
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Provider Business Mailing Address
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Address Line | 121 N DIVISION ST SUITE 300
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City | AUBURN
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State | WA
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Zip | 98001-4931
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Country | US
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Telephone | 253-736-2818
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Fax | 888-801-8031
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Authorized Official
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Title or Position | OWNER
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Name | MARK H TSENG
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Credential | MD
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Telephone | 253-804-2809
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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 | MD60125808
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License Number State | WA
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