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General NPI Number Information
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NPI Number | 1285774984
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Entity Type | Organization
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Legal Business Name | NATALIA ROGERS
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 12040 98TH AVE NE SUITE 103
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City | KIRKLAND
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State | WA
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Zip | 98034-4290
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Country | US
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Telephone | 425-820-2447
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Fax |
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Provider Business Mailing Address
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Address Line | 12040 98TH AVE NE SUITE 103
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City | KIRKLAND
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State | WA
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Zip | 98034-4290
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Country | US
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Telephone | 425-820-2447
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Fax |
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Authorized Official
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Title or Position | LIC MASSAGE PRACTITIONER / OWNER
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Name | MS. NATALIA ROGERS
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Credential | LMP
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Telephone | 425-820-2447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00003215
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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 | MA60341077
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License Number State | WA
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