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General NPI Number Information
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NPI Number | 1619340072
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Entity Type | Individual
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Provider Name | RESHMI BAHADUR MA, ATC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2015
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 10330 MERIDIAN AVE N STE 380
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City | SEATTLE
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State | WA
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Zip | 98133
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Country | US
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Telephone | 206-668-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 7814 196TH ST SW APT C3
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City | EDMONDS
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State | WA
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Zip | 98026-6524
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Country | US
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Telephone | 559-960-2910
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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