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General NPI Number Information
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NPI Number | 1396565263
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Entity Type | Individual
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Provider Name | MAKENZI KAISER DPT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 13555 SE 36TH ST STE 100
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City | BELLEVUE
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State | WA
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Zip | 98006-1456
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Country | US
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Telephone | 866-839-6979
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Fax | 916-913-5646
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Provider Business Mailing Address
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Address Line | 13555 SE 36TH ST STE 100
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City | BELLEVUE
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State | WA
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Zip | 98006-1456
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Country | US
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Telephone | 866-839-6979
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Fax | 916-913-5646
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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 | 2305215866
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT210002342
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61558248
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License Number State | WA
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