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General NPI Number Information
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NPI Number | 1962895672
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Entity Type | Organization
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Legal Business Name | COSTCO WHOLESALE CORPORATION
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 11001 SOUTHERN BLVD
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-4240
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Country | US
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Telephone | 561-803-8844
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Fax | 561-803-8845
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Provider Business Mailing Address
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Address Line | PO BOX 35005
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City | SEATTLE
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State | WA
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Zip | 98124-3405
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Country | US
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Telephone | 425-313-8100
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Fax | 425-313-6922
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTIAN ANTHIS
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Credential |
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Telephone | 425-427-3530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 12802
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License Number State | FL
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