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General NPI Number Information
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NPI Number | 1720323405
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Entity Type | Individual
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Provider Name | VERONIKA POLYANSKIY D.P.T, M.S.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 11019 NE 135TH PL
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City | KIRKLAND
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State | WA
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Zip | 98034-5314
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Country | US
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Telephone | 425-999-5023
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Fax | 425-559-7787
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Provider Business Mailing Address
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Address Line | 24219 18TH PL W
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City | BOTHELL
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State | WA
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Zip | 98021-9283
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Country | US
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Telephone | 425-999-5023
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Fax | 425-559-7787
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12159-24
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License Number State | WI
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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 | 60317318
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License Number State | WA
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