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General NPI Number Information
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NPI Number | 1043800436
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Entity Type | Organization
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Legal Business Name | SEATAC ACCIDENT AND INJURY PS
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 16005 INTERNATIONAL BLVD STE A
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City | SEATAC
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State | WA
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Zip | 98188-2993
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Country | US
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Telephone | 206-420-8556
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Fax | 206-535-6080
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Provider Business Mailing Address
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Address Line | 16005 INTERNATIONAL BLVD STE A
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City | SEATAC
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State | WA
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Zip | 98188-2993
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Country | US
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Telephone | 206-420-8556
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Fax | 206-535-6080
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BERTHA RODRIGUEZ RODRIGUEZ
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Credential |
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Telephone | 206-420-8556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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