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General NPI Number Information
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NPI Number | 1245750587
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Entity Type | Individual
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Provider Name | SARAYA THOMPSON DPT
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 325 9TH AVE # 359920
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 206-744-5723
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Fax |
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Provider Business Mailing Address
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Address Line | 27004 190TH AVE SE
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City | COVINGTON
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State | WA
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Zip | 98042-8486
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Country | US
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Telephone | 253-304-7608
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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 | 60734432
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License Number State | WA
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