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General NPI Number Information
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NPI Number | 1225389646
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Entity Type | Individual
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Provider Name | PAUL RYAN QUE SANCHEZ PT
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Gender | Male
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 3035 CHERRY ST
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City | HOQUIAM
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State | WA
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Zip | 98550-3007
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Country | US
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Telephone | 360-532-7882
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Fax |
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Provider Business Mailing Address
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Address Line | 44 GATEWICK DR
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City | JACKSON
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State | TN
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Zip | 38305-6488
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Country | US
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Telephone | 731-426-2881
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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 | PT 60295872
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License Number State | WA
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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 | 8371
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License Number State | TN
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