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General NPI Number Information
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NPI Number | 1598924631
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Entity Type | Individual
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Provider Name | ALLISON JANE FETCHERO DPT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 325 NINTH AVE
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-744-2563
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Fax | 206-744-8188
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Provider Business Mailing Address
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Address Line | BOX 359836 325 NINTH AVE
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-744-2563
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Fax | 206-744-8188
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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 | 2305205051
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60119531
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License Number State | WA
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