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General NPI Number Information
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NPI Number | 1538343033
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Entity Type | Organization
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Legal Business Name | PROLIANCE SURGEONS, INC., P.S.
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 16259 SYLVESTER RD SW STE 501
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City | BURIEN
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State | WA
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Zip | 98166-3059
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Country | US
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Telephone | 206-243-1100
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Fax | 206-431-0835
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Provider Business Mailing Address
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Address Line | 16259 SYLVESTER RD SW STE 501
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City | BURIEN
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State | WA
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Zip | 98166-3059
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Country | US
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Telephone | 206-243-1100
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Fax | 206-431-0835
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Authorized Official
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Title or Position | DEL CRED & ENROLLMENT MANAGER
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Name | MRS. CORI M. PLEASANT
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Credential |
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Telephone | 206-838-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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