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General NPI Number Information
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NPI Number | 1962708800
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Entity Type | Individual
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Provider Name | DANIELLE A PASTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 5300 TALLMAN AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-3932
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Country | US
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Telephone | 206-781-6209
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 NE 61ST ST
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City | SEATTLE
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State | WA
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Zip | 98115-6921
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Country | US
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Telephone | 608-669-1721
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ML60106786
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MEDS7582
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License Number State | WA
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