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General NPI Number Information
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NPI Number | 1992922421
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Entity Type | Individual
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Provider Name | JANELLE JACQUES LEE
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19401 40TH AVE W SUITE 330
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City | LYNNWOOD
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State | WA
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Zip | 98036-4612
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Country | US
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Telephone | 425-670-9987
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Fax |
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Provider Business Mailing Address
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Address Line | 4415 SW HUDSON ST
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City | SEATTLE
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State | WA
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Zip | 98116-4430
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Country | US
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Telephone | 206-938-0800
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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 | PT00003660
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License Number State | WA
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