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General NPI Number Information
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NPI Number | 1437320645
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR OPTIMAL HEALTH
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 16236 SE 24TH ST
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City | BELLEVUE
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State | WA
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Zip | 98008-5408
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Country | US
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Telephone | 425-213-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 16236 SE 24TH ST
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City | BELLEVUE
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State | WA
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Zip | 98008-5408
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Country | US
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Telephone | 425-213-1555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANN B. MCCOMBS
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Credential | D.O.
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Telephone | 425-213-1555
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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 |
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License Number State |
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