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1609142843

NPI Code Detail

MEDICARE: MISS JULIE MARIE TEA MD

MEDICARE: MISS JULIE MARIE TEA 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	208M00000X	Hospitalist Physician	A128531	WA
2	208M00000X	Hospitalist Physician	MD60573479	WA
3	208000000X	Pediatrics Physician	MD60573479	WA
4	208000000X	Pediatrics Physician	A128531	WA

General Provider Information

NPI Number	:	1609142843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JULIE MARIE TEA MD

Provider Business Mailing Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:	PO BOX 5371
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-7370
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-7370
Fax Number	:

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

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	05/30/2026

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Directions to “ MISS JULIE MARIE TEA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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