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General NPI Number Information
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NPI Number | 1215831490
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Entity Type | Organization
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Legal Business Name | SOUND REGENERATIVE MEDICINE
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 2627 CAPITAL MALL DR SW STE B3A
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City | OLYMPIA
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State | WA
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Zip | 98502-8696
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Country | US
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Telephone | 360-280-2976
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Fax | 888-411-8529
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Provider Business Mailing Address
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Address Line | PO BOX 11374
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City | OLYMPIA
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State | WA
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Zip | 98508-1374
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Country | US
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Telephone | 360-280-2976
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Fax | 888-411-8529
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Authorized Official
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Title or Position | REVENUE CYCLE ADMINISTRATOR
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Name | ALLISON GRAY
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Credential |
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Telephone | 360-970-4336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | NULL
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