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General NPI Number Information
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NPI Number | 1932421070
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Entity Type | Organization
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Legal Business Name | SEATTLE OASIS, PLLC
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 2130 WESTLAKE AVE N SUITE 4
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City | SEATTLE
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State | WA
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Zip | 98109-2495
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Country | US
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Telephone | 206-838-5318
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Fax | 206-432-8876
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Provider Business Mailing Address
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Address Line | 2130 WESTLAKE AVE N SUITE 4
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City | SEATTLE
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State | WA
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Zip | 98109-2495
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Country | US
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Telephone | 206-838-5318
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Fax | 206-432-8876
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Authorized Official
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Title or Position | LMP/OWNER
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Name | MRS. ERICA IRENE MARIA KEICH
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Credential | LMP
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Telephone | 206-838-5318
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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 | MA 00017647
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License Number State | WA
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