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General NPI Number Information
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NPI Number | 1194658922
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Entity Type | Individual
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Provider Name | KYLA ANN DAMEROW DPT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 150 ANDOVER PARK W
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City | TUKWILA
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State | WA
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Zip | 98188-2801
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Country | US
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Telephone | 425-979-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 28862 237TH PL SE
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City | BLACK DIAMOND
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State | WA
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Zip | 98010-9404
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Country | US
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Telephone |
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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 |
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License Number State |
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