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NPI Code Detail

MEDICARE: CHAD DUVALL PLLC

MEDICARE: CHAD DUVALL PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00011127WA

General Provider Information

NPI Number : 1487865648
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAD DUVALL PLLC
Provider Business Mailing Address
First Line : 2722 EASTLAKE AVE E
Second Line : SUITE 360
City : SEATTLE
State : WA
Zip : 98102-3143
Country : US
Telephone Number : 425-802-3378
Fax Number : 206-322-8520
Provider Business Practice Location Address
First Line : 2722 EASTLAKE AVE E
Second Line : SUITE 360
City : SEATTLE
State : WA
Zip : 98102-3143
Country : US
Telephone Number : 425-802-3378
Fax Number : 206-322-8520
Authorized Official
Title or Position : MEMBER
Name : MR. CHAD D DUVALL
Credential : LMP
Telephone Number : 425-802-3378
Provider Enumeration Date : 05/26/2007
Last Update Date : 08/22/2020

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Directions to “CHAD DUVALL PLLC ” Practice Location

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