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General NPI Number Information
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NPI Number | 1124591060
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Entity Type | Organization
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Legal Business Name | EMERALD PHYSICAL THERAPY AND PILATES, PLLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 1401 NW 70TH ST
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City | SEATTLE
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State | WA
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Zip | 98117-5340
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Country | US
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Telephone | 206-708-6766
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Fax |
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Provider Business Mailing Address
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Address Line | 409 NE 85TH ST
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City | SEATTLE
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State | WA
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Zip | 98115-2926
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Country | US
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Telephone | 206-775-5454
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SAMANTHA CHERNAK
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Credential |
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Telephone | 206-775-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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