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General NPI Number Information
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NPI Number | 1124301718
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Entity Type | Individual
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Provider Name | AMY BOLLINGER D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 7900 E GREEN LAKE DR N 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 | 615 SUMMIT AVE E APT 8
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City | SEATTLE
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State | WA
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Zip | 98102-4881
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Country | US
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Telephone |
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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 | PT60227272
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License Number State | WA
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