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General NPI Number Information
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NPI Number | 1225558901
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Entity Type | Individual
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Provider Name | DAWNELL TOKARCHUK PTA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 2120 E DIVISION ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4639
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Country | US
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Telephone | 425-387-2836
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Fax |
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Provider Business Mailing Address
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Address Line | 609 RUBY PEAK AVE
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City | MOUNT VERNON
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State | WA
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Zip | 98273-8922
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Country | US
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Telephone | 425-387-2836
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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