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General NPI Number Information
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NPI Number | 1720865736
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Entity Type | Organization
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Legal Business Name | TS ELECTROLYSIS LLC
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 06/09/2024
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Provider Practice Location Address
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Address Line | 5123 NE 94TH AVE STE A
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City | VANCOUVER
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State | WA
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Zip | 98662-6181
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Country | US
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Telephone | 801-631-0352
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Fax |
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Provider Business Mailing Address
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Address Line | 5302 NE 72ND AVE APT M126
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City | VANCOUVER
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State | WA
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Zip | 98661-3567
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Country | US
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Telephone | 801-631-0352
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TATIANA STEIN
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Credential |
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Telephone | 801-631-0352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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