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General NPI Number Information
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NPI Number | 1265106918
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Entity Type | Individual
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Provider Name | SHERRIE BERTINI FOSTER
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Gender | Female
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 104 BURNETT AVE S
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City | RENTON
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State | WA
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Zip | 98057-2121
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Country | US
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Telephone | 425-272-5038
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Fax |
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Provider Business Mailing Address
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Address Line | 15220 SE 183RD DR
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City | RENTON
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State | WA
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Zip | 98058-9641
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Country | US
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Telephone | 206-949-2742
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 60029221
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License Number State | WA
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