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General NPI Number Information
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NPI Number | 1942522081
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Entity Type | Organization
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Legal Business Name | NP SOMNOLOGIST, PLLC
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 16320 SE 15TH ST
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City | BELLEVUE
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State | WA
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Zip | 98008-5102
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Country | US
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Telephone | 425-649-7319
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Fax | 425-649-7319
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Provider Business Mailing Address
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Address Line | 15600 NE 8TH ST SUITE B1-978
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City | BELLEVUE
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State | WA
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Zip | 98008-3927
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Country | US
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Telephone | 425-649-7319
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Fax | 425-649-7319
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER CRAIG
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Credential | ARNP
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Telephone | 425-649-7319
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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 | 602908082
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License Number State | WA
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