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General NPI Number Information
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NPI Number | 1811701428
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Entity Type | Individual
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Provider Name | ANDREW HALL MT, L.AC.
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Gender | Male
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 514 N 85TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-3721
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Country | US
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Telephone | 206-900-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 8013 16TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98117-3608
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Country | US
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Telephone | 307-203-0198
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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 | 61635401
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License Number State | WA
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