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General NPI Number Information
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NPI Number | 1144458423
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Entity Type | Individual
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Provider Name | ADRIENNE LESLIE WEST DPT
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Gender | Female
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 2700 SIMPSON AVE SUITE 201
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City | ABERDEEN
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State | WA
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Zip | 98520
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Country | US
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Telephone | 360-537-2743
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Fax |
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Provider Business Mailing Address
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Address Line | 1864 53RD LOOP SE
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City | OLYMPIA
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State | WA
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Zip | 98501-8003
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Country | US
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Telephone | 360-480-1181
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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 | PT60096552
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License Number State | WA
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