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General NPI Number Information
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NPI Number | 1457289126
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Entity Type | Organization
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Legal Business Name | PACIFIC MEDICAL SPECIALTY ON CALL GROUP
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 917 PACIFIC AVE STE 600
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City | TACOMA
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State | WA
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Zip | 98402-4437
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Country | US
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Telephone | 253-844-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 917 PACIFIC AVE STE 600
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City | TACOMA
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State | WA
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Zip | 98402-4437
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Country | US
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Telephone | 253-844-4327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES MINN
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Credential | MD
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Telephone | 253-844-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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