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General NPI Number Information
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NPI Number | 1700480597
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Entity Type | Individual
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Provider Name | QIN CHENG
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Gender | Female
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 13219 NE 20TH ST STE 206
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City | BELLEVUE
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State | WA
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Zip | 98005-2020
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Country | US
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Telephone | 425-679-6198
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Fax |
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Provider Business Mailing Address
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Address Line | 14335 SIMONDS RD NE APT C304
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City | KIRKLAND
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State | WA
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Zip | 98034-9277
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Country | US
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Telephone | 206-334-5411
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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 | MA60776745
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License Number State | WA
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