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General NPI Number Information
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NPI Number | 1114944865
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Entity Type | Organization
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Legal Business Name | S SOUND FOOT & ANKLE INC PS
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 3525 ENSIGN RD NE SUITE L
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City | OLYMPIA
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State | WA
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Zip | 98506-5065
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Country | US
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Telephone | 360-456-3171
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Fax | 360-456-2597
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Provider Business Mailing Address
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Address Line | 3525 ENSIGN RD NE SUITE L
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City | OLYMPIA
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State | WA
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Zip | 98506-5065
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Country | US
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Telephone | 360-456-3171
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Fax | 360-456-2597
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD EDWARD HORSMAN
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Credential | D.P.M.
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Telephone | 360-456-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | WA
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