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General NPI Number Information
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NPI Number | 1922585306
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Entity Type | Organization
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Legal Business Name | CARE EXCELLENCE PLLC
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 7012 50TH ST W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-3223
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Country | US
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Telephone | 586-482-8046
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Fax |
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Provider Business Mailing Address
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Address Line | 7012 50TH ST W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-3223
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Country | US
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Telephone | 646-469-0170
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JASON MARSH
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Credential | ETC.
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Telephone | 646-469-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | WA
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