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General NPI Number Information
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NPI Number | 1386217214
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Entity Type | Individual
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Provider Name | ADRIENNE RODDY-BALE PT
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 13242 AURORA AVE N STE 103
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City | SEATTLE
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State | WA
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Zip | 98133-7026
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Country | US
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Telephone | 206-420-0221
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Fax |
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Provider Business Mailing Address
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Address Line | 8358 13TH AVE NW APT 5
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City | SEATTLE
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State | WA
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Zip | 98117-4202
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 61161829
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License Number State | WA
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