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General NPI Number Information
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NPI Number | 1205906716
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Entity Type | Individual
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Provider Name | ANTHONY JOHN RAINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 5163 NE 1ST CT
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City | RENTON
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State | WA
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Zip | 98059-4924
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Country | US
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Telephone | 425-830-3838
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Fax | 425-663-4459
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Provider Business Mailing Address
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Address Line | 5163 NE 1ST CT
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City | RENTON
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State | WA
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Zip | 98059-4924
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Country | US
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Telephone | 425-830-3838
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Fax | 425-663-4459
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD00021268
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License Number State | WA
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