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General NPI Number Information
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NPI Number | 1912148933
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Entity Type | Organization
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Legal Business Name | SOUND FAMILY MEDICINE AND URGENT CARE PLLC
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Dates
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Enumeration Date | 03/21/2009
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 22180 OLYMPIC COLLEGE WAY NW STE 201
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City | POULSBO
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State | WA
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Zip | 98370-6664
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Country | US
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Telephone | 360-394-3500
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Fax | 360-394-3501
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Provider Business Mailing Address
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Address Line | 22180 OLYMPIC COLLEGE WAY NW STE 201
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City | POULSBO
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State | WA
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Zip | 98370-6664
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Country | US
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Telephone | 360-394-3500
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Fax | 360-394-3501
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. BRAD L ANDERSEN
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Credential | MD
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Telephone | 206-842-2151
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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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