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General NPI Number Information
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NPI Number | 1184493702
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Entity Type | Organization
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Legal Business Name | SISKAR PLLC
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2630 77TH AVE SE STE 102
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City | MERCER ISLAND
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State | WA
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Zip | 98040-3085
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Country | US
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Telephone | 206-946-1192
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Fax | 833-615-2849
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Provider Business Mailing Address
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Address Line | 2630 77TH AVE SE STE 102
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City | MERCER ISLAND
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State | WA
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Zip | 98040-3085
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Country | US
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Telephone | 206-946-1192
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Fax | 833-615-2849
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. KORISSA RAMAGE
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Credential | DC
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Telephone | 206-946-1192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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