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General NPI Number Information
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NPI Number | 1093027351
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE CONSULTANTS LLC
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 3130 S 381ST WAY
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City | AUBURN
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State | WA
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Zip | 98001-8767
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Country | US
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Telephone | 206-963-9052
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Fax | 206-274-8164
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Provider Business Mailing Address
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Address Line | 3130 S 381ST WAY
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City | AUBURN
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State | WA
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Zip | 98001-8767
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Country | US
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Telephone | 206-963-9052
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Fax | 206-274-8164
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HARPREET KAUR
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Credential | M.D.
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Telephone | 206-963-9052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD0004017
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License Number State | WA
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