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General NPI Number Information
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NPI Number | 1093876898
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Entity Type | Organization
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Legal Business Name | HIGHLINE PHYSICAL THERAPY GROUP
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 16259 SYLVESTER RD SW SUITE 102
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City | BURIEN
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State | WA
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Zip | 98166-3049
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Country | US
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Telephone | 206-242-5186
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Fax | 206-241-8467
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Provider Business Mailing Address
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Address Line | 181 S 333RD ST SUITE 250
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City | FEDERAL WAY
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State | WA
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Zip | 98003-7363
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Country | US
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Telephone | 253-874-2998
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Fax | 253-874-3307
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CRAIG J KOPET
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Credential | PT
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Telephone | 206-242-5186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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