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General NPI Number Information
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NPI Number | 1902969678
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Entity Type | Individual
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Provider Name | SUZETTE FLORENCE MADSON PT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 634 7TH AVE OFC 6
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City | KIRKLAND
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State | WA
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Zip | 98033-5665
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Country | US
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Telephone | 425-542-3306
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Fax | 425-747-6367
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Provider Business Mailing Address
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Address Line | PO BOX 6175
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City | BELLEVUE
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State | WA
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Zip | 98008-0175
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Country | US
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Telephone | 425-643-0373
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Fax | 425-747-6367
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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 | 025208 PT00006112
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 032698
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 025208 PT00006112
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 032698
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 032698
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 025208 PT00006112
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License Number State | WA
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