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General NPI Number Information
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NPI Number | 1932233210
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Entity Type | Individual
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Provider Name | ANNE NEARY SIMNOWITZ LMP
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7307 WOODLAWN AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-5334
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Country | US
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Telephone | 206-713-8887
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Fax | 425-334-0571
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Provider Business Mailing Address
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Address Line | 1608 131ST DR NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-8693
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Country | US
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Telephone | 425-422-4456
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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 | MA00017041
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License Number State | WA
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