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General NPI Number Information
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NPI Number | 1972928331
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Entity Type | Organization
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Legal Business Name | NEW LEAF HYPERBARICS, LLC
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 2115 S 56TH ST SUITE 312
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City | TACOMA
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State | WA
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Zip | 98409-6902
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Country | US
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Telephone | 253-212-9211
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Fax | 800-689-1254
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Provider Business Mailing Address
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Address Line | 2115 S 56TH ST SUITE 312
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City | TACOMA
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State | WA
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Zip | 98409-6902
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Country | US
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Telephone | 253-212-9211
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Fax | 800-689-1254
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Authorized Official
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Title or Position | MANAGER
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Name | CHAD REDINBO
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Credential |
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Telephone | 253-514-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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