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General NPI Number Information
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NPI Number | 1043202625
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Entity Type | Individual
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Provider Name | HOLLY MICHELLE FORSTER MILLER
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Gender | Female
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 1201 TERRY AVE
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City | SEATTLE
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State | WA
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Zip | 98101-2735
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Country | US
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Telephone | 206-223-7528
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Fax | 206-223-7577
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Provider Business Mailing Address
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Address Line | 1201 TERRY AVE
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City | SEATTLE
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State | WA
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Zip | 98101-2735
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Country | US
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Telephone | 206-223-7528
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Fax | 206-223-7577
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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 | PT00008343
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License Number State | WA
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