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General NPI Number Information
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NPI Number | 1043287246
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Entity Type | Individual
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Provider Name | BRETT ALAN MILLER MSPT
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4701 41ST AVE SW STE 100 TAI - WEST SEATTLE PHYSICAL THERAPY
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City | SEATTLE
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State | WA
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Zip | 98116-4597
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Country | US
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Telephone | 206-932-8363
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Fax | 206-932-4973
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Provider Business Mailing Address
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Address Line | 11481 SW HALL BLVD STE 201 THERAPEUTIC ASSOCIATES INC
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City | PORTLAND
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State | OR
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Zip | 97223-8403
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Country | US
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Telephone | 800-219-8835
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Fax | 503-443-1402
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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 | PT00010274
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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 | 20871
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT870023
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License Number State | DC
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