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General NPI Number Information
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NPI Number | 1437942794
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Entity Type | Organization
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Legal Business Name | BREATHE EASY PULMONARY TESTING LAB PLLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 3773 MARTIN WAY E STE B101
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City | OLYMPIA
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State | WA
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Zip | 98506-5048
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Country | US
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Telephone | 317-409-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 3773 MARTIN WAY E STE B101
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City | OLYMPIA
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State | WA
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Zip | 98506-5048
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Country | US
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Telephone | 317-409-0414
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | DR. COLLEEN MICHELLE OVERDORF
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Credential | DO
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Telephone | 317-409-0414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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