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NPI 1295340123

NPI 1295340123 : 8 PLUS 1 HEALTHCARE USA LLC : LYNNWOOD, WA

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General NPI Number Information
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    NPI Number           |    1295340123
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    Entity Type          |    Organization 
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    Legal Business Name  |    8 PLUS 1 HEALTHCARE USA LLC 
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Dates
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    Enumeration Date     |    09/08/2020
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    Last Update Date     |    09/14/2020
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Provider Practice Location Address
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    Address Line         |    4629 168TH ST SW STE C 
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    City                 |    LYNNWOOD
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    State                |    WA
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    Zip                  |    98037-8640
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    Country              |    US
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    Telephone            |    720-207-8365
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14628 MAIN ST APT Z101 
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    City                 |    MILL CREEK
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    State                |    WA
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    Zip                  |    98012-2037
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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    |    EXECUTOR
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    Name                 |     SU JIN  RHI 
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    Credential           |    
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    Telephone            |    720-207-8365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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