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General NPI Number Information
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NPI Number | 1568757177
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Entity Type | Individual
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Provider Name | KATHRINE SANTIAGO LMT
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Gender | Female
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 13116 NE 70TH PL
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City | KIRKLAND
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State | WA
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Zip | 98033
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Country | US
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Telephone | 425-576-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 12612 NE 187TH ST APT 2401
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City | BOTHELL
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State | WA
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Zip | 98011-9341
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Country | US
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Telephone | 425-614-9571
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60563121
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License Number State | WA
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