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General NPI Number Information
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NPI Number | 1689224982
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Entity Type | Organization
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Legal Business Name | THERAPY MANAGEMENT SERVICES, PLLC
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 21525 STATE ROUTE 410 E STE B
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City | BONNEY LAKE
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State | WA
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Zip | 98391-4101
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Country | US
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Telephone | 253-826-8520
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Fax | 253-826-8522
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Provider Business Mailing Address
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Address Line | 915 118TH AVE SE STE 110
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City | BELLEVUE
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State | WA
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Zip | 98005-3875
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Country | US
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Telephone | 425-450-9474
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Fax | 425-452-0704
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | DWAN AYALA
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Credential |
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Telephone | 425-450-9474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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