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NPI 1902696040

NPI 1902696040 : JOHN MICHAEL ARKELIN : LYNNWOOD, WA

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General NPI Number Information
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    NPI Number           |    1902696040
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN MICHAEL ARKELIN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/12/2025
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    12911 BEVERLY PARK RD 
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    City                 |    LYNNWOOD
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    State                |    WA
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    Zip                  |    98087-5127
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    Country              |    US
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    Telephone            |    425-789-5548
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    23106 19TH DR SE 
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    City                 |    BOTHELL
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    State                |    WA
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    Zip                  |    98021-9570
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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       |    PT61569687
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    License Number State |    WA
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