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General NPI Number Information
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NPI Number | 1982223145
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Entity Type | Organization
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Legal Business Name | HEALTHMATE, PLLC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 11750 NE 118TH ST
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City | KIRKLAND
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State | WA
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Zip | 98034-7114
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Country | US
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Telephone | 425-587-3551
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Fax | 425-587-3463
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Provider Business Mailing Address
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Address Line | 1502 25TH AVE S # A
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City | SEATTLE
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State | WA
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Zip | 98144-3708
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Country | US
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Telephone | 206-788-6005
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KAILYN ROBERT ELLIOTT
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Credential | RN
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Telephone | 206-788-6005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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