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General NPI Number Information
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NPI Number | 1992662902
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Entity Type | Organization
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Legal Business Name | SOUTH SOUND MUSCULOSKELETAL INSTITUTE PLLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1519 3RD ST SE STE 101
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City | PUYALLUP
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State | WA
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Zip | 98372-3742
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Country | US
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Telephone | 909-659-1852
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 3RD ST SE STE 101
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City | PUYALLUP
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State | WA
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Zip | 98372-3742
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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 | PRESIDENT
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Name | KENNETH NWOSU
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Credential | MD
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Telephone | 909-659-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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