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General NPI Number Information
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NPI Number | 1508186214
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Entity Type | Organization
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Legal Business Name | R & D COULSON INC.
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 448 SUSSEX AVE E 3
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City | TENINO
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State | WA
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Zip | 98589-8703
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Country | US
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Telephone | 360-264-5999
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Fax | 360-264-5979
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Provider Business Mailing Address
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Address Line | PO BOX 676 3
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City | TENINO
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State | WA
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Zip | 98589-0676
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Country | US
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Telephone | 360-264-5999
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Fax | 350-264-5979
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Authorized Official
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Title or Position | PROVIDER/PRESIDENT
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Name | DR. RONALD HARRY COULSON
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Credential | DC
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Telephone | 360-264-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 1296
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License Number State | WA
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