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NPI 1942558259

NPI 1942558259 : UNIVERSITY OF WASHINGTON : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1942558259
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY OF WASHINGTON 
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Dates
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    Enumeration Date     |    08/16/2012
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    Last Update Date     |    08/16/2012
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Provider Practice Location Address
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    Address Line         |    325 9TH AVE BOX 359911
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98104-2420
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    Country              |    US
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    Telephone            |    206-744-1871
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    325 9TH AVE BOX 359911
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98104-2420
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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    |    APPOINTMENT MANAGER
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    Name                 |     COLLEEN  MCDONALD 
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    Credential           |    
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    Telephone            |    206-221-1452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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