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General NPI Number Information
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NPI Number | 1962821991
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Entity Type | Individual
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Provider Name | BERTHINA B. COLEMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 747 BROADWAY, SUITE WW- 739 SWEDISH MEDICAL CENTER, GENERAL SURGERY RESIDENCY PROGR
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City | SEATTLE
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State | WA
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Zip | 98122-4307
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Country | US
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Telephone | 206-386-2123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50095
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City | SEATTLE
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State | WA
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Zip | 98145-5095
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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 |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101282152
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 229231
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD60881108
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License Number State | WA
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