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General NPI Number Information
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NPI Number | 1780919118
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Entity Type | Organization
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Legal Business Name | ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 34617 11TH PL S SUITE 101
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8706
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Country | US
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Telephone | 253-927-8008
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Fax | 253-572-0468
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Provider Business Mailing Address
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Address Line | 2201 S 19TH ST SUITE 104
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City | TACOMA
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State | WA
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Zip | 98405-2962
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Country | US
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Telephone | 253-272-9994
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Fax | 253-572-0468
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMAD A SAEED
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Credential | MD
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Telephone | 253-272-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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