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General NPI Number Information
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NPI Number | 1619881372
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Entity Type | Individual
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Provider Name | KEITH MUSCHEK
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Gender |
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 9909 224TH ST E
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City | GRAHAM
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State | WA
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Zip | 98338-7086
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Country | US
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Telephone | 253-271-0338
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Fax |
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Provider Business Mailing Address
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Address Line | 7926 193RD STREET CT E
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City | SPANAWAY
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State | WA
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Zip | 98387-5090
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Country | US
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Telephone | 253-279-6752
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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 | 70168646
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License Number State | WA
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