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General NPI Number Information
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NPI Number | 1124419601
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Entity Type | Organization
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Legal Business Name | PHINNEY MASSAGE LLC
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 6817 GREENWOOD AVE N PHINNEY RIDGE PROFESSIONAL CENTER
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City | SEATTLE
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State | WA
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Zip | 98103-5227
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Country | US
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Telephone | 206-930-4251
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Fax | 206-781-5229
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Provider Business Mailing Address
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Address Line | 135 N 75TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-4601
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Country | US
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Telephone | 206-930-4251
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Fax | 206-781-5229
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Authorized Official
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Title or Position | OWNER
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Name | MS. JULIE PATRICE NACHTWEY
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Credential | LMP
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Telephone | 206-930-4251
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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 |
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License Number State |
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