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General NPI Number Information
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NPI Number | 1235645805
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Entity Type | Organization
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Legal Business Name | INSIGHT PHYSIO, PLLC
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 17641 VASHON HWY SW
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City | VASHON
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State | WA
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Zip | 98070-2537
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Country | US
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Telephone | 206-953-1133
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Fax | 844-666-7401
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Provider Business Mailing Address
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Address Line | PO BOX 2537
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City | VASHON
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State | WA
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Zip | 98070-2537
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Country | US
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Telephone | 206-953-1133
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Fax | 844-666-7401
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STEPHEN J DEVOGHT
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Credential |
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Telephone | 206-953-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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