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General NPI Number Information
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NPI Number | 1235295106
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Entity Type | Individual
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Provider Name | DANA ELIZABETH QUADE LMP MASSAGE RC COUNS
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16704 PACIFIC HWY S SEA TAC CHIROPRACTIC CENTER
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City | SEATTLE
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State | WA
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Zip | 98188
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Country | US
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Telephone | 206-246-8830
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Fax | 206-244-4690
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Provider Business Mailing Address
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Address Line | 31411 12TH AVE SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-4505
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Country | US
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Telephone | 253-839-8247
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Fax | 253-839-8247
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | RC00021989
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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 | MA00006316
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License Number State | WA
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