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General NPI Number Information
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NPI Number | 1275946378
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Entity Type | Organization
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Legal Business Name | REHAB SPECIALTIES PS
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 3305 MAIN ST STE 201
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City | VANCOUVER
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State | WA
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Zip | 98663-2250
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Country | US
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Telephone | 360-936-1557
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Fax | 360-989-1219
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Provider Business Mailing Address
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Address Line | PO BOX 821643
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City | VANCOUVER
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State | WA
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Zip | 98682-0038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JANE CLAUSON
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Credential | PT
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Telephone | 360-936-1557
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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 |
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License Number State |
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