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General NPI Number Information
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NPI Number | 1467790790
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Entity Type | Individual
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Provider Name | DEAN GAINER
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Gender | Male
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 1833 N 105TH ST STE 101
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City | SEATTLE
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State | WA
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Zip | 98133-8973
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Country | US
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Telephone | 206-985-8482
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Fax | 425-258-3701
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Provider Business Mailing Address
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Address Line | 10413 BEARDSLEE BLVD
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City | BOTHELL
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State | WA
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Zip | 98011-3463
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA60305852
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License Number State | WA
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