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General NPI Number Information
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NPI Number | 1942470232
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Entity Type | Organization
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Legal Business Name | PACIFIC MEDICAL REHABILITATION, PLLC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 4540 CORDATA PKWY SUITE 101
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City | BELLINGHAM
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State | WA
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Zip | 98226-8059
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Country | US
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Telephone | 360-543-5250
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Fax | 360-543-5251
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Provider Business Mailing Address
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Address Line | PO BOX 30676
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City | BELLINGHAM
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State | WA
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Zip | 98228-2676
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Country | US
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Telephone | 360-543-5250
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Fax | 360-543-5251
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JIMMY YI CUI
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Credential | MD
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Telephone | 360-543-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD00039814
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License Number State | WA
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