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General NPI Number Information
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NPI Number | 1497781710
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Entity Type | Organization
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Legal Business Name | COMMENCEMENT HEALTH CARE PS
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 314 MARTIN LUTHER KING JR WAY SUITE 400
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City | TACOMA
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State | WA
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Zip | 98405-4250
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Country | US
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Telephone | 253-627-0666
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Fax | 253-627-3159
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Provider Business Mailing Address
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Address Line | 314 MARTIN LUTHER KING JR WAY SUITE 400
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City | TACOMA
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State | WA
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Zip | 98405-4250
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Country | US
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Telephone | 253-627-0666
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Fax | 253-627-3159
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN M NELSON
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Credential | MD
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Telephone | 253-627-0666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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