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General NPI Number Information
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NPI Number | 1003581422
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Entity Type | Individual
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Provider Name | RACHEL ANN COOPER PTA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 242 ST HELENS AVE
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City | TACOMA
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State | WA
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Zip | 98402-2514
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Country | US
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Telephone | 253-627-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 35227 56TH AVE S
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City | AUBURN
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State | WA
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Zip | 98001-9204
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Country | US
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Telephone | 253-315-5125
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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