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General NPI Number Information
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NPI Number | 1588703243
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Entity Type | Individual
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Provider Name | BETHANY DENEE HILL LMP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17620 140TH AVE SE STE C-5
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City | RENTON
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State | WA
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Zip | 98058-6813
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Country | US
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Telephone | 425-255-3718
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Fax | 425-226-3718
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Provider Business Mailing Address
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Address Line | 11839 22ND AVE SW
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City | BURIEN
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State | WA
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Zip | 98146-2502
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Country | US
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Telephone | 206-406-9775
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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 | MA00023505
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License Number State | WA
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