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General NPI Number Information
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NPI Number | 1336567593
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Entity Type | Organization
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Legal Business Name | SAFE BATHTUB INC
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 3047 HEDDING ST
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City | ENTIAT
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State | WA
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Zip | 98822-9713
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Country | US
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Telephone | 509-670-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 3047 HEDDING ST
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City | ENTIAT
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State | WA
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Zip | 98822-9713
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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 | ROGER GARDNER
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Credential |
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Telephone | 509-670-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number | 602977255
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 602977255
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License Number State | WA
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