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General NPI Number Information
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NPI Number | 1275854887
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Entity Type | Organization
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Legal Business Name | SOUND VASCULAR, P.S
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 32014 32ND AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98001-9625
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Country | US
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Telephone | 253-874-7107
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Fax | 253-874-1923
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Provider Business Mailing Address
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Address Line | 32014 32ND AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98001-9625
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Country | US
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Telephone | 253-874-7107
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Fax | 253-874-1923
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALISON MORENO
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Credential |
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Telephone | 206-929-9695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XC2903X
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Taxonomy Name | Vascular Specialist/Technologist Cardiovascular
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License Number | 602991235
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2471C1101X
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Taxonomy Name | Cardiovascular-Interventional Technology Radiologic Technologist
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License Number | 602991235
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 602991235
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License Number State | WA
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