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General NPI Number Information
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NPI Number | 1093066334
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Entity Type | Organization
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Legal Business Name | ARUNACHA PS
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 3118 JUDSON ST UNIT 1141
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City | GIG HARBOR
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State | WA
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Zip | 98335-9253
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Country | US
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Telephone | 855-621-8250
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Fax | 253-292-2090
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Provider Business Mailing Address
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Address Line | 3118 JUDSON ST UNIT 1141
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City | GIG HARBOR
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State | WA
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Zip | 98335-9253
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Country | US
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Telephone | 855-621-8250
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Fax | 253-292-2090
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | PAUL M DOEPFNER
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Credential | M.D.
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Telephone | 360-420-2181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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