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General NPI Number Information
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NPI Number | 1992922140
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Entity Type | Organization
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Legal Business Name | BOURREE SERVICES P S
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 12841 NE 85TH ST
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City | KIRKLAND
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State | WA
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Zip | 98033-8009
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Country | US
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Telephone | 425-827-0334
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Fax | 425-284-6884
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Provider Business Mailing Address
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Address Line | 12841 NE 85TH ST
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City | KIRKLAND
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State | WA
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Zip | 98033-8009
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Country | US
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Telephone | 425-827-0334
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Fax | 425-284-6884
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Authorized Official
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Title or Position | BILLING/CREDENTIALING
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Name | ADRIENNE ROBINSON
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Credential |
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Telephone | 425-891-4950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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