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21701 76th Ave W Ste 206 Edmonds WA 98026-7536 | |
(206) 427-4242 | |
(425) 636-2401 |
Full Name | |
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Speciality | Clinic/center - Sleep Disorder Diagnostic |
Location | 21701 76th Ave W Ste 206, Edmonds, Washington |
Authorized Official Name and Position | Alexandra A Mazeika (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2064274242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16150 Ne 85th St Ste 203 Redmond WA 98052-3543 Ph: (206) 427-4242 | 21701 76th Ave W Ste 206 Edmonds WA 98026-7536 Ph: (206) 427-4242 |
NPI Number | 1568182814 |
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Provider Enumeration Date | 08/29/2022 |
Last Update Date | 10/12/2022 |
Certification Date | 10/01/2022 |
Identifier | Type | State | Issuer |
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1568182814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Primary |
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