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General NPI Number Information
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NPI Number | 1003027780
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Entity Type | Individual
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Provider Name | JULIA J VISSER DPT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 325 9TH AVE BOX 359920
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 206-744-1675
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Fax | 206-744-1664
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Provider Business Mailing Address
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Address Line | BOX 359920 325 NINTH AVENUE
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City | SEATTLE
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State | WA
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Zip | 98104-2499
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Country | US
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Telephone | 206-744-1675
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Fax | 206-744-1664
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00009961
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License Number State | WA
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