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General NPI Number Information
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NPI Number | 1255739678
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Entity Type | Organization
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Legal Business Name | MICHELLE PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 04/15/2017
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Provider Practice Location Address
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Address Line | 649 WINDSOR DR SE
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City | SAMMAMISH
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State | WA
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Zip | 98074-3422
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Country | US
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Telephone | 425-495-6194
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Fax |
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Provider Business Mailing Address
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Address Line | 649 WINDSOR DR SE
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City | SAMMAMISH
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State | WA
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Zip | 98074-3422
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Country | US
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Telephone | 404-780-1116
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. MICHELLE MURRAY KAPLITA
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Credential | P.T.
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Telephone | 425-495-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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