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General NPI Number Information
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NPI Number | 1851338255
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Entity Type | Organization
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Legal Business Name | SOLE EXPRESSIONS
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8015 SE 28TH ST SUITE 310
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2910
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Country | US
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Telephone | 206-275-9705
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Fax | 425-484-6425
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Provider Business Mailing Address
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Address Line | 8015 SE 28TH ST SUITE 310
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2910
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Country | US
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Telephone | 206-275-9705
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Fax | 425-484-6425
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ERIKA G CARTER
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Credential |
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Telephone | 206-275-9705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO00000743
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License Number State | WA
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