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General NPI Number Information
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NPI Number | 1922935857
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Entity Type | Organization
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Legal Business Name | PROLIANCE SURGEONS INC P S
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 405 SW 41ST ST STE 407
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City | RENTON
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State | WA
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Zip | 98057-4926
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Country | US
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Telephone | 425-656-5060
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Fax | 425-656-5047
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Provider Business Mailing Address
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Address Line | 4011 TALBOT RD S STE 300
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City | RENTON
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State | WA
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Zip | 98055-5791
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Country | US
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Telephone | 425-656-5060
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Fax | 425-656-5047
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Authorized Official
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Title or Position | DEL CRED & ENROLLMENT MANAGER
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Name | CORI M. PLEASANT
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Credential |
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Telephone | 206-838-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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