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General NPI Number Information
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NPI Number | 1013135680
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Entity Type | Individual
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Provider Name | JULIE ANN VERNON PTA
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Gender | Female
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Dates
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Enumeration Date | 04/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4020 S 56TH ST SUITE 101
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City | TACOMA
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State | WA
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Zip | 98409-2615
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Country | US
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Telephone | 253-380-7736
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Fax |
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Provider Business Mailing Address
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Address Line | 2507 8TH ST SW
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City | PUYALLUP
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State | WA
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Zip | 98373-1646
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Country | US
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Telephone | 253-841-2969
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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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