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General NPI Number Information
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NPI Number | 1760606784
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Entity Type | Individual
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Provider Name | OLEG PARTYKA LMT
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 3802 AUBURN WAY N STE 301
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City | AUBURN
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State | WA
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Zip | 98002-1400
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Country | US
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Telephone | 253-886-5016
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Fax | 253-886-5024
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Provider Business Mailing Address
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Address Line | 30425 200TH AVE SE
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City | KENT
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State | WA
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Zip | 98042-9500
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Country | US
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Telephone | 206-898-1036
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Fax | 253-886-5024
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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 | 00019036
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License Number State | WA
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