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General NPI Number Information
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NPI Number | 1265818504
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Entity Type | Individual
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Provider Name | PAYDEN HOUSER PT
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Gender | Male
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10004 204TH AVE E STE 3100
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City | BONNEY LAKE
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State | WA
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Zip | 98391-6540
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Country | US
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Telephone | 253-863-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 800 CRESCENT CENTRE DR SUITE 600
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City | FRANKLIN
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State | TN
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Zip | 37067-7269
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Country | US
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Telephone | 615-656-0379
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Fax | 615-221-9054
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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 | 10583
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License Number State | TN
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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 | PT60750496
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License Number State | WA
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