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General NPI Number Information
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NPI Number | 1114892528
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Entity Type | Organization
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Legal Business Name | INTEGRATED WORK INJURY CLINIC PLLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 12826 SE 40TH LN STE 105
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City | BELLEVUE
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State | WA
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Zip | 98006-5266
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Country | US
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Telephone | 206-322-4948
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 225
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City | MERCER ISLAND
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State | WA
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Zip | 98040-0225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | SANDRA LESTER
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Credential | DNP DC
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Telephone | 206-322-4948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number |
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License Number State |
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