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NPI 1558227819

NPI 1558227819 : MICAH ROWE : BURIEN, WA

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General NPI Number Information
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    NPI Number           |    1558227819
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    Entity Type          |    Individual 
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    Provider Name        |    MICAH ROWE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/30/2025
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    Last Update Date     |    12/30/2025
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Provider Practice Location Address
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    Address Line         |    16251 SYLVESTER RD SW 
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    City                 |    BURIEN
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    State                |    WA
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    Zip                  |    98166-3017
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    Country              |    US
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    Telephone            |    206-248-4639
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10705 29TH PL SW 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98146-1954
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    Country              |    US
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    Telephone            |    425-387-3623
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    P160433727
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    License Number State |    WA
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