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General NPI Number Information
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NPI Number | 1366697310
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Entity Type | Organization
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Legal Business Name | HARRY A. PIERCE, DO, PS
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 13014 12TH AVE SW
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City | BURIEN
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State | WA
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Zip | 98146-3110
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Country | US
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Telephone | 206-244-5805
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Fax | 206-248-7362
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Provider Business Mailing Address
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Address Line | 13014 12TH AVE SW
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City | BURIEN
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State | WA
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Zip | 98146-3110
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Country | US
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Telephone | 206-244-5805
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Fax | 206-248-7362
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. HARRY A PIERCE
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Credential | DO
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Telephone | 206-244-5805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OP0000769
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License Number State | WA
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