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General NPI Number Information
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NPI Number | 1003947854
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Entity Type | Individual
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Provider Name | WENDOLYN ANNE RUE PT
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 5197 ANGLERS HAVEN DR
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City | OAK HARBOR
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State | WA
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Zip | 98277-9607
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Country | US
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Telephone | 360-421-2852
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Fax |
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Provider Business Mailing Address
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Address Line | 785 SE BAYSHORE DR. SUITE 102
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City | OAK HARBOR
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State | WA
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Zip | 98277-4062
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Country | US
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Telephone | 360-279-8323
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Fax | 360-279-8772
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT00006648
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 00006648
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License Number State | WA
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