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General NPI Number Information
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NPI Number | 1891146734
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Entity Type | Organization
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Legal Business Name | NORTH SEATTLE HOLISTIC PHYSICAL THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 7500 212TH ST SW SUITE 112
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City | EDMONDS
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State | WA
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Zip | 98026-7641
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Country | US
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Telephone | 888-315-6610
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Fax | 888-315-6610
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Provider Business Mailing Address
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Address Line | 7500 212TH ST SW SUITE 112
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City | EDMONDS
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State | WA
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Zip | 98026-7641
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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 | OWNER
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Name | DR. RHENAND MENDOZA
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Credential | PT, DPT
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Telephone | 253-886-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT60148245
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License Number State | WA
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