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General NPI Number Information
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NPI Number | 1134572035
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Entity Type | Organization
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Legal Business Name | THERAPY MANAGEMENT SERVICES, PLLC
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Dates
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Enumeration Date | 07/15/2016
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | 4725 196TH ST SW
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City | LYNNWOOD
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State | WA
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Zip | 98036-5518
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Country | US
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Telephone | 425-967-3970
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Fax | 425-967-5498
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Provider Business Mailing Address
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Address Line | 915 118TH AVE SE STE 110
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City | BELLEVUE
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State | WA
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Zip | 98005-3875
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Country | US
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Telephone | 425-450-9474
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Fax | 425-452-0704
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | DWAN DIAZ
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Credential |
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Telephone | 425-450-9474
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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 |
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License Number State |
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