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NPI Code Detail

MEDICARE: JULIE A DECUIRE

MEDICARE:   JULIE A DECUIRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00008629WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7G8872199OTHERWAMEDICARE
108870905OTHERWAMEDICARE
11P00473358OTHERWARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10218066OTHERWADEPT. OF LABOR & INDUSTRY
23499DEOTHERWAREGENCE
37762900OTHERWAAETNA
40232275OTHERWALABOR & INDUSTRIES
58943763OTHERWAL&I CRIME VICTIMS
6P00417127OTHERWARAILROAD MEDIARE
82250DEOTHERWAREGENCE BLUE SHIELD
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316080328
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A DECUIRE
Provider Business Mailing Address
First Line : 1519 132ND ST SE
Second Line : SUITE A
City : EVERETT
State : WA
Zip : 98208-7203
Country : US
Telephone Number : 425-330-0633
Fax Number : 425-338-9637
Provider Business Practice Location Address
First Line : 22500 NE MARKETPLACE DR
Second Line : SUITE 204
City : REDMOND
State : WA
Zip : 98053-2033
Country : US
Telephone Number : 425-836-1034
Fax Number : 425-836-1037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 01/25/2012

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Directions to “ JULIE A DECUIRE ” Practice Location

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