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General NPI Number Information
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NPI Number | 1922170927
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Entity Type | Organization
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Legal Business Name | SARATOGA ENTERPRISES INC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 40 N MAIN ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-9556
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Country | US
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Telephone | 360-331-4763
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Fax | 360-331-7542
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Provider Business Mailing Address
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Address Line | PO BOX 70
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City | COUPEVILLE
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State | WA
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Zip | 98239-0070
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Country | US
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Telephone | 360-331-4763
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Fax | 360-331-7542
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Authorized Official
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Title or Position | RPH PRESIDENT
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Name | RONALD G LIND
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Credential |
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Telephone | 360-331-4763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 601604070
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License Number State | WA
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