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General NPI Number Information
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NPI Number | 1275533978
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Entity Type | Individual
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Provider Name | ELIZABETH DUFFY PT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 7521 SW GARDEN HOME RD
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City | PORTLAND
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State | OR
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Zip | 97223-7428
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Country | US
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Telephone | 503-757-2123
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Fax | 503-977-7983
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Provider Business Mailing Address
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Address Line | 1314 SW DOLPH ST ATTN: ELIZABETH DUFFY
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City | PORTLAND
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State | OR
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Zip | 97219-4337
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Country | US
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Telephone | 503-244-1967
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00755
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License Number State |
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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 | 2305
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License Number State | OR
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