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General NPI Number Information
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NPI Number | 1275105728
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Entity Type | Organization
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Legal Business Name | SOUND WEIGHT AND WELLNESS PLLC
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 125 130TH ST SE
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City | EVERETT
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State | WA
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Zip | 98208-6401
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Country | US
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Telephone | 425-224-8200
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Fax | 425-224-8299
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Provider Business Mailing Address
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Address Line | 125 130TH ST SE
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City | EVERETT
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State | WA
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Zip | 98208-6401
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Country | US
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Telephone | 425-224-8200
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Fax | 425-224-8299
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Authorized Official
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Title or Position | OWNER/MANAGING PARTNER
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Name | ROBERT MICHAELSON
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Credential | MD
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Telephone | 425-224-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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