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General NPI Number Information
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NPI Number | 1063565620
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Entity Type | Individual
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Provider Name | KRISTEN S VAN DINTER PT
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 7900 E GREEN LAKE DR N SUITE 204
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City | SEATTLE
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State | WA
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Zip | 98103-4800
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Country | US
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Telephone | 206-985-2236
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 E GREEN LAKE DR N SUITE 204
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City | SEATTLE
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State | WA
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Zip | 98103-4800
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Country | US
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Telephone | 206-985-2236
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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 | PT00008369
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License Number State | WA
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