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General NPI Number Information
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NPI Number | 1639310840
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Entity Type | Individual
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Provider Name | MARGARET IRENE SUMMERS
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Gender | Female
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 460 NE 70TH ST
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City | SEATTLE
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State | WA
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Zip | 98115
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Country | US
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Telephone | 206-522-4000
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Fax | 206-522-4003
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Provider Business Mailing Address
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Address Line | 19800 INTERNATIONAL BLVD APT D107
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City | SEATAC
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State | WA
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Zip | 98188-5461
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Country | US
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Telephone | 206-878-2372
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Fax | 206-522-4003
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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 | MA00023185
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License Number State | WA
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