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General NPI Number Information
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NPI Number | 1194022426
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Entity Type | Organization
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Legal Business Name | SEWARD PARK THERAPEUTICS
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 8435 S 114TH ST
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City | SEATTLE
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State | WA
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Zip | 98178-3321
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Country | US
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Telephone | 206-772-0898
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Fax | 206-508-4136
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Provider Business Mailing Address
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Address Line | 8435 S 114TH ST
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City | SEATTLE
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State | WA
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Zip | 98178-3321
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Country | US
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Telephone | 206-772-0898
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Fax | 206-508-4136
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Authorized Official
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Title or Position | OWNER
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Name | DANA KIRKWOOD-WATTS
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Credential |
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Telephone | 206-772-0898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | LAC488
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00023864
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License Number State | WA
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