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General NPI Number Information
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NPI Number | 1134774573
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE LAUTEN DPT, BA, MDIV
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Gender | Female
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 3334 GONZAGA CT SE
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City | OLYMPIA
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State | WA
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Zip | 98503-6233
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Country | US
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Telephone | 803-804-7725
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 CAPITAL MALL DR SW STE D
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City | OLYMPIA
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State | WA
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Zip | 98502-8654
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Country | US
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Telephone | 360-709-6221
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Fax | 360-359-4727
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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 | 63343
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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 | PT61593897
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | WA
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