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General NPI Number Information
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NPI Number | 1417643628
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Entity Type | Organization
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Legal Business Name | CADENCE PHYSICAL THERAPY, PNW, PLLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 6925 216TH ST SW STE M
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City | LYNNWOOD
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State | WA
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Zip | 98036-7358
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Country | US
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Telephone | 206-880-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 121 NW 171ST ST
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City | SHORELINE
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State | WA
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Zip | 98177-3612
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Country | US
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Telephone | 206-474-8110
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | NICOLE MCVARISH
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Credential | PT
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Telephone | 206-880-3191
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #3
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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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