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General NPI Number Information
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NPI Number | 1093001489
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Entity Type | Organization
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Legal Business Name | GOOD NIGHT MEDICAL OF WASHINGTON, INC.
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 16515 MERIDIAN E SUITE 203B
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City | PUYALLUP
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State | WA
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Zip | 98375-6251
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Country | US
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Telephone | 253-517-3680
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Fax | 614-386-0278
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Provider Business Mailing Address
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Address Line | 975 EASTWIND DR SUITE 165
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City | WESTERVILLE
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State | OH
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Zip | 43081-5322
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Country | US
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Telephone | 614-384-7433
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Fax | 614-386-0278
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN T RUDY
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Credential |
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Telephone | 614-499-0776
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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 |
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