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General NPI Number Information
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NPI Number | 1033231436
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Entity Type | Organization
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Legal Business Name | PAISANO PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 611 MAIN ST SUITE D
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City | EDMONDS
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State | WA
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Zip | 98020-3096
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Country | US
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Telephone | 206-387-1946
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Fax | 425-744-0280
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Provider Business Mailing Address
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Address Line | 611 MAIN ST SUITE D
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City | EDMONDS
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State | WA
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Zip | 98020-3096
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Country | US
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Telephone | 206-387-1946
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Fax | 425-744-0280
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DEBBIE ANN STEMPF
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Credential | PT
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Telephone | 206-387-1946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | WA
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