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General NPI Number Information
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NPI Number | 1982157640
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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 | 07/29/2016
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Last Update Date | 07/29/2016
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Provider Practice Location Address
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Address Line | 140 W FLORENTIA ST APT C
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City | SEATTLE
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State | WA
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Zip | 98119-2393
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Country | US
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Telephone | 206-724-8780
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Fax |
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Provider Business Mailing Address
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Address Line | 140 W FLORENTIA ST APT C
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City | SEATTLE
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State | WA
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Zip | 98119-2393
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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 | FELLOW
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Name | IAN MACNIVEN
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Credential |
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Telephone | 206-724-8780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 60638680
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License Number State | WA
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