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General NPI Number Information
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NPI Number | 1255530358
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Entity Type | Individual
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Provider Name | JARLO LO ILANO M.P.T.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 17000 140TH AVE NE UNIT 303
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City | WOODINVILLE
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State | WA
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Zip | 98072-6928
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Country | US
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Telephone | 425-481-1744
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Fax |
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Provider Business Mailing Address
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Address Line | 13779 NE 77TH PL
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City | REDMOND
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State | WA
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Zip | 98052-4025
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Country | US
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Telephone | 808-383-3897
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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-2143
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT00007639
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License Number State | WA
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