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General NPI Number Information
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NPI Number | 1639208002
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Entity Type | Individual
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Provider Name | TARI DAWN ATKINSON L.M.P, L.M.T
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Gender | Female
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1811 QUEEN ANNE AVE N SUITE #203
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City | SEATTLE
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State | WA
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Zip | 98109-2850
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Country | US
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Telephone | 206-714-5015
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Fax | 206-352-5330
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Provider Business Mailing Address
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Address Line | 6201 15TH AVE NW PMB #555
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City | SEATTLE
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State | WA
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Zip | 98107-2306
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Country | US
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Telephone | 206-714-5015
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Fax | 206-352-5330
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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 | MA00013917
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License Number State | WA
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