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General NPI Number Information
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NPI Number | 1851316863
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Entity Type | Organization
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Legal Business Name | NORTHWEST HAND SPECIALISTS, INC PS
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 19930 BALLINGER WAY NE
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City | SHORELINE
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State | WA
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Zip | 98155-1223
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Country | US
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Telephone | 206-363-6947
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Fax |
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Provider Business Mailing Address
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Address Line | 19930 BALLINGER WAY NE
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City | SHORELINE
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State | WA
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Zip | 98155-1223
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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 | PRESIDENT
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Name | EDWIN D VYHMEISTER
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Credential | MD
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Telephone | 206-363-6947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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