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General NPI Number Information
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NPI Number | 1952982936
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Entity Type | Organization
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Legal Business Name | THERESE ALLEN & CO.
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 22207 7TH AVE S STE A
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City | DES MOINES
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State | WA
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Zip | 98198-6221
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Country | US
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Telephone | 206-414-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 22207 7TH AVE S STE A
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City | DES MOINES
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State | WA
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Zip | 98198-6221
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Country | US
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Telephone | 206-414-9979
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ELAINE ZENG
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Credential |
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Telephone | 206-414-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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