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General NPI Number Information
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NPI Number | 1013495449
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Entity Type | Individual
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Provider Name | DARSHITA DALAL PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 07/28/2018
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Last Update Date | 07/28/2018
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Provider Practice Location Address
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Address Line | 14961 NE 95TH ST
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City | REDMOND
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State | WA
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Zip | 98052-2559
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Country | US
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Telephone | 206-856-9305
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Fax |
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Provider Business Mailing Address
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Address Line | 11906 161ST AVE NE
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City | REDMOND
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State | WA
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Zip | 98052-5739
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00010382
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License Number State | WA
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