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General NPI Number Information
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NPI Number | 1568705689
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Entity Type | Organization
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Legal Business Name | SCREENPOINTE INC
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 619A MCKINNON AVE
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City | SUMNER
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State | WA
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Zip | 98390-1018
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Country | US
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Telephone | 253-863-9990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 712
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City | SUMNER
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State | WA
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Zip | 98390-0120
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Country | US
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Telephone | 253-863-9990
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | TERESA A STEWART
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Credential |
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Telephone | 253-691-0447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MTSW.FS.00004284
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License Number State | WA
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