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General NPI Number Information
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NPI Number | 1669787818
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Entity Type | Organization
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Legal Business Name | SEATTLE HILL PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 13119 SEATTLE HILL RD SUITE 107
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City | SNOHOMISH
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State | WA
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Zip | 98296-3400
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Country | US
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Telephone | 425-224-4490
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Fax | 425-224-4491
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Provider Business Mailing Address
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Address Line | PO BOX 1045
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City | FRANKLIN
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State | TN
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Zip | 37065-1045
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Country | US
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Telephone | 425-224-4490
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Fax | 425-224-4491
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Authorized Official
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Title or Position | PRESIDENT
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Name | BOBBY ISMAIL
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Credential |
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Telephone | 209-353-1988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 00003695
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License Number State | WA
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