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General NPI Number Information
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NPI Number | 1952310211
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Entity Type | Organization
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Legal Business Name | WASHINGTON INSTITUTE ORTHOPEDIC CENTER
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 12707 120TH AVE NE SUITE 205
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City | KIRKLAND
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State | WA
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Zip | 98034-7500
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Country | US
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Telephone | 425-899-5566
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Fax | 425-821-9362
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | REDMOND
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State | WA
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Zip | 98073-0448
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Country | US
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Telephone | 425-516-9613
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Fax | 425-732-2705
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. DAVID S BADGER
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Credential | M.D.
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Telephone | 425-516-9613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 601669743
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License Number State | WA
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