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General NPI Number Information
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NPI Number | 1598350696
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Entity Type | Organization
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Legal Business Name | L&T INTERNAL MEDICINE CONSULTANTS PLLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 1206 S 11TH ST STE 2
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City | TACOMA
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State | WA
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Zip | 98405-4090
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Country | US
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Telephone | 253-486-3869
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 67TH ST SE
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City | AUBURN
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State | WA
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Zip | 98092-7700
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Country | US
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Telephone | 253-486-3869
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRUC DO
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Credential | DO
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Telephone | 253-486-3869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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