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General NPI Number Information
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NPI Number | 1881916450
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Entity Type | Organization
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Legal Business Name | INSPIRE MEDICAL CLINIC INC.
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 1400 W WASHINGTON ST #104
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City | SEQUIM
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State | WA
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Zip | 98382-3236
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Country | US
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Telephone | 360-683-8783
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 W WASHINGTON ST # 104
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City | SEQUIM
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State | WA
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Zip | 98382-3236
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Country | US
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Telephone | 360-683-8783
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VINCENT W. SHU
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Credential | MD
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Telephone | 360-683-8783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | BUSLIC01471
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License Number State | WA
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