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General NPI Number Information
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NPI Number | 1629367610
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Entity Type | Organization
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Legal Business Name | INTUITIVE BODYWORK, LLC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 2100 E UNION ST
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City | SEATTLE
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State | WA
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Zip | 98122-2954
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Country | US
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Telephone | 206-853-1540
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Fax | 206-329-2357
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Provider Business Mailing Address
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Address Line | 2100 E UNION ST
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City | SEATTLE
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State | WA
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Zip | 98122-2954
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Country | US
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Telephone | 206-853-1540
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Fax | 206-329-2357
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Authorized Official
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Title or Position | CEO
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Name | KATIE L JOANNES
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Credential | LMP
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Telephone | 206-853-1540
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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 | MA00025246
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License Number State | WA
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