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General NPI Number Information
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NPI Number | 1386566164
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Entity Type | Individual
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Provider Name | RYAN D FOWLER
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Gender | Male
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 2600 SW BARTON ST STE D3
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City | SEATTLE
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State | WA
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Zip | 98126-4052
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Country | US
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Telephone | 206-573-5074
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Fax |
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Provider Business Mailing Address
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Address Line | 25207 234TH AVE SE
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-6096
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Country | US
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Telephone | 425-282-8152
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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