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General NPI Number Information
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NPI Number | 1437960697
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Entity Type | Organization
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Legal Business Name | INCLUSIVE HEALTH PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 4705 31ST AVE SE
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City | EVERETT
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State | WA
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Zip | 98203-1595
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Country | US
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Telephone | 425-470-3030
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Fax | 833-428-7730
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Provider Business Mailing Address
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Address Line | PO BOX 2191
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City | EVERETT
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State | WA
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Zip | 98213-0191
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Country | US
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Telephone | 425-470-3030
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Fax | 833-428-7730
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Authorized Official
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Title or Position | FOUNDER, FAMILY PHYSICIAN
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Name | DR. JOANNE THAMBUSWAMY
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Credential | MD
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Telephone | 425-470-3030
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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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