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General NPI Number Information
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NPI Number | 1679709018
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Entity Type | Individual
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Provider Name | THOMAS GREENWOOD LMP
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Gender | Male
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 05/29/2009
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Provider Practice Location Address
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Address Line | 400 E PINE ST SUITE 220
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City | SEATTLE
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State | WA
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Zip | 98122-2316
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Country | US
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Telephone | 206-623-5202
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Fax | 206-623-0995
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Provider Business Mailing Address
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Address Line | 6244 25TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-7106
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Country | US
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Telephone | 206-276-7720
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Fax |
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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 | MA00020911
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License Number State | WA
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