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General NPI Number Information
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NPI Number | 1538212956
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Entity Type | Individual
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Provider Name | WENDI W. POPPENHAGEN MPT
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 20200 54TH AVE W
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City | LYNNWOOD
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State | WA
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Zip | 98036-6318
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Country | US
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Telephone | 425-672-6400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34584
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City | SEATTLE
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State | WA
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Zip | 98124-1584
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Country | US
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Telephone | 509-241-7349
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Fax | 509-241-7628
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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 | PT00006362
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License Number State | WA
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