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NPI 1528799244

NPI 1528799244 : RAINIER VALLEY BIRTH & HEALTH CENTER : RENTON, WA

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General NPI Number Information
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    NPI Number           |    1528799244
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAINIER VALLEY BIRTH & HEALTH CENTER 
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Dates
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    Enumeration Date     |    06/22/2022
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    Last Update Date     |    06/24/2022
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Provider Practice Location Address
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    Address Line         |    4300 TALBOT RD S STE 402 
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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            |    425-207-8769
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    Fax                  |    888-435-9983
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Provider Business Mailing Address
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    Address Line         |    4704 S MEAD ST 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98118-2810
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    Country              |    US
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    Telephone            |    425-207-8769
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    Fax                  |    888-435-9983
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    DR. TARA KALEILANI LAWAL 
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    Credential           |    RN, MS, DNP
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    Telephone            |    206-474-6267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QB0400X
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    Taxonomy Name        |    Birthing Clinic/Center
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    License Number       |    
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    License Number State |    
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