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General NPI Number Information
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NPI Number | 1275786824
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Entity Type | Individual
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Provider Name | HEATHER JOY HARDEE LMP
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 2713 E MADISON ST SUITE 2
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City | SEATTLE
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State | WA
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Zip | 98112-4778
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Country | US
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Telephone | 206-322-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 15TH AVE E 108
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City | SEATTLE
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State | WA
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Zip | 98112-3329
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Country | US
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Telephone | 206-331-5775
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00020649
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License Number State | WA
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