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NPI 1801494158

NPI 1801494158 : LIXIA CHEN : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1801494158
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    Entity Type          |    Individual 
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    Provider Name        |    LIXIA CHEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/09/2020
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    Last Update Date     |    10/09/2020
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Provider Practice Location Address
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    Address Line         |    4701 41ST AVE SW STE 100 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98116-4597
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    Country              |    US
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    Telephone            |    206-338-2070
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    790 REMINGTON BLVD 
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    City                 |    BOLINGBROOK
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    State                |    IL
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    Zip                  |    60440-4909
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    Country              |    US
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    Telephone            |    
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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        |    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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