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General NPI Number Information
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NPI Number | 1023130028
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Entity Type | Individual
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Provider Name | TRACY ZITNIK LMP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 700 WARREN AVE N
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City | SEATTLE
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State | WA
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Zip | 98109-4027
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Country | US
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Telephone | 206-293-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 422 NW 101ST ST
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City | SEATTLE
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State | WA
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Zip | 98177-4937
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Country | US
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Telephone | 206-293-3209
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Fax |
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | MA00019890
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License Number State | WA
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