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General NPI Number Information
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NPI Number | 1811355696
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Entity Type | Organization
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Legal Business Name | WJR HEALTH LTD
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 605 WOODLAND SQUARE LOOP SE
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City | LACEY
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State | WA
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Zip | 98503-1045
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Country | US
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Telephone | 312-380-9455
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Fax | 918-803-0601
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Provider Business Mailing Address
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Address Line | 6523 CALIFORNIA AVE SW SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98136-1833
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Country | US
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Telephone | 307-638-0300
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Fax | 307-638-0394
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Authorized Official
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Title or Position | OWNER
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Name | WILFRED LEUNG
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Credential | MD
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Telephone | 312-380-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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