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NPI 1174764559

NPI 1174764559 : KATEY PIERINI LMP : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1174764559
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    Entity Type          |    Individual 
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    Provider Name        |    KATEY PIERINI LMP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/16/2009
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    Last Update Date     |    03/04/2010
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Provider Practice Location Address
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    Address Line         |    2408 10TH AVE E SUITE A
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98102-4050
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    Country              |    US
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    Telephone            |    206-329-4238
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    715 30TH AVE 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98122-5011
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    Country              |    US
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    Telephone            |    206-329-4238
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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        |    172M00000X
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    Taxonomy Name        |    Mechanotherapist
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    License Number       |    MA00005405
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    License Number State |    WA
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