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General NPI Number Information
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NPI Number | 1538322292
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Entity Type | Individual
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Provider Name | JOE MARC RODIN L.M.P.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 2111 N NORTHGATE WAY #221
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City | SEATTLE
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State | WA
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Zip | 98133-9018
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Country | US
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Telephone | 206-363-8240
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Fax | 206-363-8301
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Provider Business Mailing Address
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Address Line | 10916 LINDEN AVE N
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City | SEATTLE
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State | WA
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Zip | 98133-8822
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Country | US
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Telephone | 206-774-0353
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | MA 00008751
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License Number State | WA
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