MEDICARE: MRS. TAMI SIMMONE MERAGLIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine	MD00047481	WA

General Provider Information

NPI Number	:	1609033968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMI SIMMONE MERAGLIA MD

Provider Business Mailing Address
First Line	:	1501 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3160
Country	:	US
Telephone Number	:	206-622-5300
Fax Number	:	206-622-5301

Provider Business Practice Location Address
First Line	:	1501 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3160
Country	:	US
Telephone Number	:	206-622-5300
Fax Number	:	206-622-5301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	05/22/2008

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