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General NPI Number Information
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NPI Number | 1306517149
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Entity Type | Organization
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Legal Business Name | ADVANCED REGENERATIVE MEDICINE INC
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 464 12TH AVE STE 203
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City | SEATTLE
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State | WA
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Zip | 98122-7050
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Country | US
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Telephone | 631-827-5549
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 269TH CT SE
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City | SAMMAMISH
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State | WA
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Zip | 98075-5965
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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 | PRESIDENT
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Name | DR. DANIELLE MAGRINI
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Credential | DO
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Telephone | 631-827-5549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number |
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License Number State |
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