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General NPI Number Information
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NPI Number | 1255887220
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Entity Type | Organization
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Legal Business Name | INSPIRE PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 14780 SW OSPREY DR SUITE 270
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City | BEAVERTON
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State | OR
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Zip | 97007-8028
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Country | US
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Telephone | 925-984-3635
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Fax | 971-249-3191
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Provider Business Mailing Address
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Address Line | 14780 SW OSPREY DRIVE SUITE 270
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City | BEAVERTON
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State | OR
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Zip | 97007
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Country | US
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Telephone | 925-984-3635
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Fax | 971-249-3191
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MRS. ROBIN JEANNE BOUSQUET
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Credential | PT
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Telephone | 925-984-3635
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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 | 60890
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License Number State | OR
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