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General NPI Number Information
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NPI Number | 1942003512
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Entity Type | Individual
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Provider Name | HENRY ALLEN PARKER III
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Gender | Male
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2237 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98116-2111
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Country | US
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Telephone | 301-335-0710
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Fax |
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Provider Business Mailing Address
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Address Line | 18225 1ST AVE S APT 216
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City | NORMANDY PARK
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State | WA
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Zip | 98148-1877
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Country | US
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Telephone | 301-335-0710
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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 | MA61443107
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License Number State | WA
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