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General NPI Number Information
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NPI Number | 1144733106
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Entity Type | Individual
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Provider Name | JUSTIN J HO PT
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Gender | Male
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 12917 SE 38TH ST STE 208
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City | BELLEVUE
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State | WA
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Zip | 98006
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Country | US
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Telephone | 206-320-5430
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Fax | 206-320-5431
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone |
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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 | PT60797124
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License Number State | WA
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