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General NPI Number Information
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NPI Number | 1144654559
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Entity Type | Individual
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Provider Name | MATTHEW CHRISTOPHER MEYER D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 9505 S STEELE ST
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City | TACOMA
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State | WA
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Zip | 98444-1858
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Country | US
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Telephone | 253-597-6800
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Fax | 253-597-6888
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Provider Business Mailing Address
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Address Line | 11310 8TH AVE NE APT A
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City | SEATTLE
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State | WA
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Zip | 98125-6177
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Country | US
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Telephone | 206-316-6041
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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 | PT 60392155
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License Number State | WA
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