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General NPI Number Information
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NPI Number | 1629247291
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Entity Type | Organization
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Legal Business Name | MARY LEE SNORTELAND PT LLC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 4300 198TH ST SW
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City | LYNNWOOD
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State | WA
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Zip | 98036-6771
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Country | US
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Telephone | 425-778-2325
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Fax | 425-778-7692
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Provider Business Mailing Address
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Address Line | 4300 198TH ST SW
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City | LYNNWOOD
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State | WA
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Zip | 98036-6771
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Country | US
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Telephone | 425-778-2325
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Fax | 425-778-7692
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARY LEE SNORTELAND
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Credential |
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Telephone | 425-778-2325
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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 | PT00002473
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License Number State | WA
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