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General NPI Number Information
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NPI Number | 1023681962
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Entity Type | Organization
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Legal Business Name | HEALTHSCAN OF WASHINGTON LLC
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 6282 119TH AVE SE
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City | BELLEVUE
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State | WA
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Zip | 98006-6460
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Country | US
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Telephone | 206-922-9951
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53262
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City | BELLEVUE
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State | WA
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Zip | 98015-3262
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Country | US
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Telephone | 206-922-9951
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TANUJ SONI
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Credential | MBA
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Telephone | 206-922-9951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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