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General NPI Number Information
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NPI Number | 1386709269
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Entity Type | Individual
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Provider Name | CLARESE BEATRICE ZAHL L.M.P.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 212 ALASKAN WAY S SUITE 105A
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-618-5114
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Fax | 206-577-3803
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Provider Business Mailing Address
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Address Line | PO BOX 4034
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City | SEATTLE
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State | WA
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Zip | 98194-0034
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Country | US
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Telephone | 206-618-5114
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Fax | 206-577-3803
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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 | MA00010972
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00010972
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License Number State | WA
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