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General NPI Number Information
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NPI Number | 1043098072
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Entity Type | Individual
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Provider Name | KAARI LEE TAYLOR RUNGE PT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 1407 E 72ND ST STE A100
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City | TACOMA
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State | WA
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Zip | 98404-5906
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Country | US
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Telephone | 253-474-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 4255 SW 338TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98023-3209
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Country | US
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Telephone | 253-653-3912
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 00003861
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License Number State | WA
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