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General NPI Number Information
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NPI Number | 1639685811
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Entity Type | Organization
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Legal Business Name | EXCELLENT CARING, LLC
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Dates
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Enumeration Date | 12/24/2017
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 10564 5TH AVE NE STE 103
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City | SEATTLE
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State | WA
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Zip | 98125
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Country | US
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Telephone | 206-399-1434
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Fax | 855-750-7844
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Provider Business Mailing Address
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Address Line | PO BOX 415
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City | EDMONDS
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State | WA
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Zip | 98020-0415
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Country | US
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Telephone | 425-422-2813
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROGER S NEUMAIER
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Credential | ARNP
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Telephone | 425-422-2813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP60268401
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 603451042
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License Number State | WA
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