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General NPI Number Information
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NPI Number | 1003600073
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Entity Type | Organization
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Legal Business Name | THE MYOSPACE OF SEATTLE
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 3278B CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98116-3305
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Country | US
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Telephone | 206-954-4855
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Fax |
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Provider Business Mailing Address
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Address Line | 21022 47TH AVENUE CT E
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City | SPANAWAY
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State | WA
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Zip | 98387-6079
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Country | US
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Telephone | 813-944-7757
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Fax |
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Authorized Official
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Title or Position | OROFACIAL MYOFUNCTIONAL THERAPIST
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Name | NATALIA WILLIAMS
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Credential | RDH, OMT
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Telephone | 813-944-7757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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