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General NPI Number Information
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NPI Number | 1952790032
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Entity Type | Organization
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Legal Business Name | COYOTE STONE, LLC
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 10818 NE COXLEY DR STE L
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City | VANCOUVER
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State | WA
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Zip | 98662-6163
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Country | US
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Telephone | 888-211-6036
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Fax | 360-395-6700
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Provider Business Mailing Address
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Address Line | 22804 NE 185TH CIR
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City | BRUSH PRAIRIE
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State | WA
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Zip | 98606-8301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | CINDY TOWNE
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Credential |
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Telephone | 888-211-6036
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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 |
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License Number State |
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