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General NPI Number Information
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NPI Number | 1467783233
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Entity Type | Organization
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Legal Business Name | SOUTH SOUND SURGERY, PLLC
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 101 2ND ST NE
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City | AUBURN
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State | WA
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Zip | 98002-4902
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Country | US
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Telephone | 253-394-0125
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1409
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City | AUBURN
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State | WA
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Zip | 98071-1409
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Country | US
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Telephone | 253-394-0125
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | PAM STANFILL
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Credential |
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Telephone | 253-223-0515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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