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General NPI Number Information
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NPI Number | 1558674093
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Entity Type | Organization
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Legal Business Name | PAUL A. ZAVERUHA, MD, PS., INC.
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 11/28/2010
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Provider Practice Location Address
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Address Line | 101 NE BIRCH ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3133
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Country | US
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Telephone | 360-678-6433
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Fax | 360-678-6812
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | COUPEVILLE
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State | WA
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Zip | 98239-1080
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Country | US
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Telephone | 360-678-6433
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Fax | 360-678-6812
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | GAIL E HILKEY
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Credential |
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Telephone | 360-678-6433
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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 | MD00019657
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License Number State | WA
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