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General NPI Number Information
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NPI Number | 1740634575
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Entity Type | Organization
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Legal Business Name | RAINALDO WELLNESS SYSTEMS PLLC
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 2025 112TH AVE NE STE 301
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City | BELLEVUE
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State | WA
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Zip | 98004-2950
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Country | US
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Telephone | 425-471-8750
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13287
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City | MILL CREEK
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State | WA
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Zip | 98082-1287
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | RICHARD RAINALDO
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Credential | D.C.
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Telephone | 425-471-8750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH60545372
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License Number State | WA
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