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General NPI Number Information
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NPI Number | 1295548360
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Entity Type | Organization
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Legal Business Name | HI PROFORMANCE PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 5306 NE 54TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98661-2197
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Country | US
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Telephone | 808-298-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 14205 SE 36TH ST STE 100
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City | BELLEVUE
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State | WA
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Zip | 98006-1553
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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 | OWNER/PHYSICAL THERAPIST
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Name | TEILISSA TUA
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Credential | DPT
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Telephone | 808-298-5151
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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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