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General NPI Number Information
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NPI Number | 1750854667
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Entity Type | Organization
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Legal Business Name | ALCARAZ THERAPEUTIC MASSAGE LLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 11524 15TH AVE NE STE D
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City | SEATTLE
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State | WA
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Zip | 98125-6357
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Country | US
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Telephone | 206-403-5879
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Fax | 206-913-2102
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Provider Business Mailing Address
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Address Line | 11524 15TH AVE NE STE D
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City | SEATTLE
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State | WA
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Zip | 98125-6357
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Country | US
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Telephone | 206-403-5879
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Fax | 206-913-2102
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARIA ALCARAZ FOSTER
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Credential | LMT
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Telephone | 206-931-6502
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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 |
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License Number State |
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