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General NPI Number Information
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NPI Number | 1780914069
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Entity Type | Organization
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Legal Business Name | WHEN THE SHOE FITS, LLC
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 13305 NE HIGHWAY 99 STE 100
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City | VANCOUVER
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State | WA
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Zip | 98686-2804
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Country | US
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Telephone | 360-546-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 13305 NE HIGHWAY 99 STE 100
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City | VANCOUVER
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State | WA
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Zip | 98686-2804
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Country | US
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Telephone | 360-546-1929
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN OHARA
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Credential | C.PED
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Telephone | 360-521-9462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | N/A FOR C.PEDS
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License Number State | WA
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