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General NPI Number Information
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NPI Number | 1548779895
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL ADMINISTRATIVE SERVICES
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 100 S CHERRY ST
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City | BURLINGTON
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State | WA
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Zip | 98233-1810
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Country | US
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Telephone | 360-391-4393
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Fax | 360-391-4393
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Provider Business Mailing Address
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Address Line | PO BOX 1534
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City | BURLINGTON
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State | WA
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Zip | 98233-0619
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Country | US
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Telephone | 360-391-4393
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Fax | 360-422-5299
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Authorized Official
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Title or Position | OWNER
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Name | LILIANA IBARRA
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Credential |
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Telephone | 360-391-4393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number | 0363797
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License Number State | WA
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