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General NPI Number Information
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NPI Number | 1225210099
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Entity Type | Individual
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Provider Name | EMILY E LUIS D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 20055 SW PACIFIC HWY SUITE 110
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City | SHERWOOD
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State | OR
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Zip | 97140-9294
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Country | US
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Telephone | 503-625-1691
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Fax | 503-925-1460
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Provider Business Mailing Address
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Address Line | PO BOX 34569
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City | SEATTLE
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State | WA
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Zip | 98124-1569
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Country | US
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Telephone | 800-219-8835
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Fax | 503-639-9699
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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 | 5437
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License Number State | OR
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