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General NPI Number Information
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NPI Number | 1891835880
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Entity Type | Individual
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Provider Name | KATHLEEN L. ALLEN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/20/2011
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Provider Practice Location Address
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Address Line | 500 17TH AVE STE 100
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City | SEATTLE
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State | WA
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Zip | 98122-5711
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Country | US
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Telephone | 206-320-4158
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Fax | 206-320-4747
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Provider Business Mailing Address
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Address Line | PO BOX 23075
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City | SEATTLE
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State | WA
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Zip | 98102-0375
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Country | US
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Telephone | 206-320-4158
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Fax | 206-320-4747
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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 | PT00005120
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License Number State | WA
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