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General NPI Number Information
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NPI Number | 1477204295
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Entity Type | Organization
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Legal Business Name | PAINLESS CLINIC PLLC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 4300 TALBOT RD S. STE 314
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 425-228-7446
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Fax | 425-277-4746
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Provider Business Mailing Address
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Address Line | 4300 TALBOT RD S. STE 314, UNI CLINIC
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 425-228-7446
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Fax | 425-277-4746
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHANG BUM SHIN
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Credential | M.D.
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Telephone | 425-228-7446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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