ProviderBusinessMailingAddressFaxNumber = '4256404432'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1023006061
PHD#2 OF SNOHOMISH COUNTY
21601 76TH AVE W
EDMONDS
WA
980267507
1033107214
SWEDISH EDMONDS
PO BOX 271627
SALT LAKE CITY
UT
841271627
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