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General NPI Number Information
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NPI Number | 1336622133
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Entity Type | Organization
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Legal Business Name | AMERICAN CURRENT CARE OF WASHINGTON, P.S.
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Dates
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Enumeration Date | 09/08/2018
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Last Update Date | 09/08/2018
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Provider Practice Location Address
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Address Line | 3928 PACIFIC AVE SE
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City | LACEY
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State | WA
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Zip | 98503-1109
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Country | US
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Telephone | 360-455-1350
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Fax | 360-455-5364
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Provider Business Mailing Address
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Address Line | 5080 SPECTRUM DRIVE SUITE 1200 WEST
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City | ADDISON
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State | TX
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Zip | 75001-4648
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Country | US
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Telephone | 972-364-8000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOHN R ANDERSON
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Credential | DO
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Telephone | 972-364-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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