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General NPI Number Information
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NPI Number | 1235702796
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Entity Type | Organization
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Legal Business Name | VIOS FERTILITY INSTITUTE PACIFIC NORTHWEST PC
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 2501 NE 134TH ST STE 100
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City | VANCOUVER
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State | WA
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Zip | 98686-3027
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Country | US
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Telephone | 360-535-7590
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Fax | 773-437-6811
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Provider Business Mailing Address
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Address Line | 2501 NE 134TH ST STE 100
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City | VANCOUVER
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State | WA
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Zip | 98686-3027
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP, PAYOR RELATIONS
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Name | MARIANNE F DEBENEDICTIS
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Credential |
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Telephone | 713-254-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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