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NPI 1093840852

NPI 1093840852 : LYNN ALISON WARSCHAUER LMP : KIRKLAND, WA

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General NPI Number Information
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    NPI Number           |    1093840852
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    Entity Type          |    Individual 
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    Provider Name        |    LYNN ALISON WARSCHAUER LMP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    02/04/2009
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Provider Practice Location Address
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    Address Line         |    10518 NE 68TH ST SUITE B-101
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98033-7003
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    Country              |    US
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    Telephone            |    425-889-4701
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    Fax                  |    425-889-4702
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Provider Business Mailing Address
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    Address Line         |    18904 68TH AVE NE APT H202
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    City                 |    KENMORE
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    State                |    WA
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    Zip                  |    98028-2666
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    Country              |    US
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    Telephone            |    206-817-4402
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    Fax                  |    425-889-4702
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MA00018598
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    License Number State |    WA
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