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General NPI Number Information
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NPI Number | 1598545329
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Entity Type | Individual
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Provider Name | ANDREW BYUN DPT
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Gender | Male
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 516 KENOSIA AVE S
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City | KENT
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State | WA
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Zip | 98030-5909
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Country | US
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Telephone | 253-852-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 32800 35TH AVE SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-2672
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Country | US
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Telephone | 551-202-4878
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 61458772
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License Number State | WA
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