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General NPI Number Information
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NPI Number | 1528045721
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Entity Type | Organization
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Legal Business Name | SOUND CHOICE HEALTH CENTER, P.S.
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8617 MARTIN WAY E
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City | LACEY
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State | WA
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Zip | 98516-5805
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Country | US
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Telephone | 360-456-0291
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Fax | 360-456-0559
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Provider Business Mailing Address
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Address Line | PO BOX 8880
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City | LACEY
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State | WA
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Zip | 98509-8880
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Country | US
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Telephone | 360-456-0291
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Fax | 360-456-0559
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LAURA LEA KABACY
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Credential |
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Telephone | 360-456-0291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | WA
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