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General NPI Number Information
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NPI Number | 1306626494
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Entity Type | Individual
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Provider Name | KATHRYN LEE ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 2611 N STEVENS ST
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City | TACOMA
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State | WA
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Zip | 98407-4670
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Country | US
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Telephone | 253-759-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 2511 SUNSET DR W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-2815
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Country | US
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Telephone | 253-383-7738
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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 | MA61482627
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License Number State | WA
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