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General NPI Number Information
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NPI Number | 1063773604
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Entity Type | Individual
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Provider Name | RACHAEL C LOEBACH DPT
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Gender | Female
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 360 LILLY RD NE SUITE A
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City | OLYMPIA
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State | WA
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Zip | 98506-5430
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Country | US
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Telephone | 360-486-0640
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Fax | 360-486-0641
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Provider Business Mailing Address
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Address Line | 1519 132ND ST SE SUITE A
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City | EVERETT
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State | WA
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Zip | 98208-7203
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Country | US
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Telephone | 425-357-9380
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Fax | 425-357-9382
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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 | PT60287914
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License Number State | WA
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