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General NPI Number Information
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NPI Number | 1912617192
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Entity Type | Individual
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Provider Name | KEI MOCHIZUKI
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Gender | Male
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 11216 SUNRISE BLVD E STE 3-203
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City | PUYALLUP
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State | WA
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Zip | 98374-8848
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Country | US
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Telephone | 206-864-6519
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Fax |
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Provider Business Mailing Address
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Address Line | 18544 96TH AVE E
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City | PUYALLUP
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State | WA
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Zip | 98375-6330
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Country | US
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Telephone | 509-504-9200
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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 | MA61377869
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License Number State | WA
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