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NPI 1982656310

NPI 1982656310 : JOSEPH ESKRIDGE MD : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1982656310
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH ESKRIDGE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/16/2006
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    Last Update Date     |    04/19/2019
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Provider Practice Location Address
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    Address Line         |    550 17TH AVE 5TH FLOOR
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98122-5788
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    Country              |    US
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    Telephone            |    206-320-2800
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    Fax                  |    206-320-2827
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Provider Business Mailing Address
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    Address Line         |    801 W 5TH AVE STE 525
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99204-2842
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    Country              |    US
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    Telephone            |    509-838-2531
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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        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    MD00024702
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    License Number State |    WA
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