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General NPI Number Information
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NPI Number | 1881237584
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Entity Type | Organization
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Legal Business Name | PUGET SOUND NATURAL MEDICINE, LLC
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 1420 S MERIDIAN STE A
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City | PUYALLUP
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State | WA
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Zip | 98371-6914
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Country | US
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Telephone | 253-579-3958
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Fax | 253-845-5252
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Provider Business Mailing Address
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Address Line | PO BOX 578
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City | SUMNER
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State | WA
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Zip | 98390-0100
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Country | US
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Telephone | 253-579-3958
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Fax | 253-845-5252
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ERIK W GILBERTSON
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Credential | DC, ND
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Telephone | 253-579-3958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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