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General NPI Number Information
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NPI Number | 1134971674
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Entity Type | Organization
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Legal Business Name | STARBIRD RISING WELLNESS
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 5323 98TH AVENUE CT W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-1109
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Country | US
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Telephone | 253-686-1195
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Fax | 253-201-7025
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Provider Business Mailing Address
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Address Line | 5323 98TH AVENUE CT W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-1109
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Country | US
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Telephone | 253-686-1195
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Fax | 253-201-7025
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. BARBARA RIX
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Credential | DNP
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Telephone | 253-686-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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