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NPI Code Detail

MEDICARE: MS. DAWN L ATLAS LMP

MEDICARE:  MS. DAWN L ATLAS  LMP
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
1172M00000XMechanotherapistMA00020507WA

General Provider Information

NPI Number : 1982895918
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAWN L ATLAS LMP
Provider Business Mailing Address
First Line : 4424 BURKE AVE N # 2
Second Line :
City : SEATTLE
State : WA
Zip : 98103-7546
Country : US
Telephone Number : 206-914-7800
Fax Number :
Provider Business Practice Location Address
First Line : 15027 AURORA AVE N
Second Line :
City : SHORELINE
State : WA
Zip : 98133-6134
Country : US
Telephone Number : 206-362-3520
Fax Number : 206-362-3521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/06/2007

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Directions to “ MS. DAWN L ATLAS LMP” Practice Location

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