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Contact Information

RENEGADES FOR LIFE INC
1265 S MAIN ST STE 305A
SEATTLE, WA98144-2010
 Phone: 206-841-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometric Assistant Technician

156FX1201X
Indicates primary specialty

NPI Profile & details for RENEGADES FOR LIFE INC

NPI # 1497319792
LBN Legal business name RENEGADES FOR LIFE INC
Authorized official SALEEM ROBINSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2019
Last updated 06/11/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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