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General NPI Number Information
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NPI Number | 1134959596
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Entity Type | Individual
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Provider Name | JUSTICE DANIEL FELIPE DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 4351 15TH AVE S # 102
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City | SEATTLE
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State | WA
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Zip | 98108-1474
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Country | US
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Telephone | 206-620-1589
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Fax | 206-629-6052
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Provider Business Mailing Address
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Address Line | 5620 RAINIER AVE S # 102
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City | SEATTLE
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State | WA
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Zip | 98118-2498
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Country | US
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Telephone | 206-535-8061
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Fax | 206-535-8064
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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 | PT61580933
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License Number State | WA
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