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General NPI Number Information
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NPI Number | 1023113065
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Entity Type | Organization
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Legal Business Name | COMPLETE FACILITY SUPPLY, LLC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 970 5TH AVE NW STE 2
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City | ISSAQUAH
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State | WA
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Zip | 98027-2469
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Country | US
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Telephone | 425-391-6646
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Fax | 425-391-6968
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Provider Business Mailing Address
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Address Line | PO BOX 2708
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City | ISSAQUAH
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State | WA
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Zip | 98027-0124
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Country | US
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Telephone | 425-391-6646
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Fax | 425-391-6968
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Authorized Official
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Title or Position | CONTROLLER
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Name | HEIDI ALBRECHT
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Credential |
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Telephone | 425-391-6646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | WA
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