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General NPI Number Information
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NPI Number | 1932242666
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE COYLE OLIVER PT, CMPT
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 E JEFFERSON ST SUITE A-5
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City | SEATTLE
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State | WA
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Zip | 98122-5698
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Country | US
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Telephone | 206-320-8078
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Fax | 206-320-4747
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Provider Business Mailing Address
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Address Line | 5414 NE 198TH PL
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City | LAKE FOREST PARK
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State | WA
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Zip | 98155-3011
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Country | US
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Telephone | 206-368-4664
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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 | PT00002260
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License Number State | WA
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