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General NPI Number Information
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NPI Number | 1184426892
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Entity Type | Organization
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Legal Business Name | MVP PHYSIATRY AND PAIN CARE
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 815 S VASSAULT ST
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City | TACOMA
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State | WA
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Zip | 98465-2008
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Country | US
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Telephone | 253-444-3320
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66657
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City | SEATTLE
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State | WA
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Zip | 98166-0657
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Country | US
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Telephone | 206-453-1818
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Fax | 855-511-5091
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Authorized Official
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Title or Position | OWNER
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Name | ALAN VO
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Credential | DO
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Telephone | 206-351-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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