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General NPI Number Information
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NPI Number | 1538702394
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Entity Type | Organization
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Legal Business Name | ASHI EMPIRE BAREFOOT THERAPY PLLC
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 16720 116TH AVE SE STE 5
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City | RENTON
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State | WA
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Zip | 98058-5277
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Country | US
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Telephone | 206-856-8831
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Fax | 425-277-0445
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Provider Business Mailing Address
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Address Line | 16720 116TH AVE SE STE 5
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City | RENTON
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State | WA
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Zip | 98058-5277
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Country | US
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Telephone | 206-856-8831
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Fax | 425-277-0445
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NANCY PEREIRA O NEILL
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Credential | LMT
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Telephone | 206-397-6205
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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 |
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License Number State |
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