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General NPI Number Information
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NPI Number | 1881913812
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Entity Type | Organization
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Legal Business Name | VALLEY DIGITAL DIAGNOSTICS L.L.C.
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 20514 SE 261ST PL
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City | COVINGTON
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State | WA
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Zip | 98042-6105
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Country | US
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Telephone | 253-854-5461
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Fax |
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Provider Business Mailing Address
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Address Line | 20514 SE 261ST PL
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City | COVINGTON
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State | WA
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Zip | 98042-6105
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Country | US
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Telephone | 253-854-5461
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RICHARD PFEIFFER JR.
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Credential | D.C.
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Telephone | 253-854-5461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CH00034342
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License Number State | WA
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