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General NPI Number Information
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NPI Number | 1417825704
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Entity Type | Organization
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Legal Business Name | SOUND PAIN ALLIANCE
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 629 AVENUE D STE 1
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City | SNOHOMISH
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State | WA
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Zip | 98290-2303
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Country | US
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Telephone | 360-839-6778
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Fax |
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Provider Business Mailing Address
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Address Line | 4029 NORTHWEST AVE STE 301
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City | BELLINGHAM
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State | WA
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Zip | 98226-9077
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Country | US
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Telephone | 360-839-6778
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JENAE O'RIELLEY
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Credential |
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Telephone | 801-903-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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