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General NPI Number Information
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NPI Number | 1023125499
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Entity Type | Organization
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Legal Business Name | UNITED BACKCARE PS
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1416 E MAIN STE F
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City | PUYALLUP
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State | WA
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Zip | 98372-3170
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Country | US
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Telephone | 253-445-8663
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Fax | 253-445-8342
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Provider Business Mailing Address
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Address Line | 9617 7TH AVE SE
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City | EVERETT
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State | WA
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Zip | 98208-3710
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Country | US
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Telephone | 425-513-8509
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Fax | 425-290-9774
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | SUSAN CHAMBERLIN
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Credential |
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Telephone | 425-644-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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