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General NPI Number Information
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NPI Number | 1376938506
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Entity Type | Organization
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Legal Business Name | SOUTH SOUND ONCOLOGY SERVICES, P.C.
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Dates
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Enumeration Date | 04/04/2015
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 1412 SW 43RD ST STE 200
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City | RENTON
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State | WA
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Zip | 98057-4803
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Country | US
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Telephone | 206-588-1722
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Fax | 253-277-8413
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Provider Business Mailing Address
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Address Line | PO BOX 66596
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City | SEATTLE
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State | WA
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Zip | 98166-0596
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Country | US
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Telephone | 206-588-1722
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Fax | 253-277-8413
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAIXI NICK CHEN
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Credential | M.D.
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Telephone | 206-588-1722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | MD00040607
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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