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General NPI Number Information
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NPI Number | 1487446753
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Entity Type | Organization
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Legal Business Name | TIGERWOLF ELECTRODIAGNOSTICS, PLLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 4423 POINT FOSDICK DR STE 308
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City | GIG HARBOR
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State | WA
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Zip | 98335-1794
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Country | US
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Telephone | 503-806-1579
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Fax |
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Provider Business Mailing Address
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Address Line | 7722 76TH AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-8626
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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 | PHYSICIAN
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Name | VENUS AZIMI
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Credential | DO
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Telephone | 503-806-1579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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