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General NPI Number Information
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NPI Number | 1144721523
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Entity Type | Organization
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Legal Business Name | ELIZABETH ROGERS PILATES & PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 3603 S MCCLELLAN ST
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City | SEATTLE
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State | WA
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Zip | 98144-5615
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Country | US
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Telephone | 206-535-7356
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Fax |
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Provider Business Mailing Address
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Address Line | 3603 S MCCLELLAN ST
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City | SEATTLE
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State | WA
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Zip | 98144-5615
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Country | US
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Telephone | 206-535-7356
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH ROGERS
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Credential | PT
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Telephone | 206-535-7356
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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 | PT60315487
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License Number State | WA
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