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General NPI Number Information
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NPI Number | 1083981005
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Entity Type | Individual
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Provider Name | ARIA RACHEL ASSAD P.T., D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 501 E 1ST ST
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City | NEWBERG
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State | OR
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Zip | 97132-2909
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Country | US
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Telephone | 949-533-1641
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Fax |
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Provider Business Mailing Address
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Address Line | 712 E 5TH ST
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City | NEWBERG
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State | OR
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Zip | 97132-3402
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Country | US
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Telephone | 949-533-1641
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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 | 38415
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License Number State | CA
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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 | 60064
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License Number State | OR
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