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General NPI Number Information
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NPI Number | 1043375462
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Entity Type | Individual
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Provider Name | BUFFY J STINCHFIELD PT
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/18/2017
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Provider Practice Location Address
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Address Line | 300 E 24TH ST
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City | VANCOUVER
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State | WA
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Zip | 98663-3214
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Country | US
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Telephone | 360-836-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 5312 NE 54TH ST
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City | VANCOUVER
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State | WA
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Zip | 98661-7825
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Country | US
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Telephone | 360-901-9753
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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 | 5310
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License Number State | OR
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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 | PT10435
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License Number State | WA
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