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General NPI Number Information
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NPI Number | 1073326302
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Entity Type | Organization
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Legal Business Name | PCN MEDICAL, PLLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 4455 148TH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98007-3120
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Country | US
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Telephone | 425-895-6520
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Fax | 425-861-6277
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Provider Business Mailing Address
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Address Line | 4455 148TH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98007-3120
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Country | US
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Telephone | 425-895-6520
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Fax | 425-861-6277
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Authorized Official
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Title or Position | OWNER
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Name | PADMINI NEHRU
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Credential | MD
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Telephone | 425-591-5093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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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 | 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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