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General NPI Number Information
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NPI Number | 1316832918
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Entity Type | Individual
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Provider Name | SHAE CHRISTINE WATERS HALE DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 8750 TALLON LN NE STE C
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City | LACEY
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State | WA
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Zip | 98516-6608
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Country | US
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Telephone | 360-456-1072
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Fax |
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Provider Business Mailing Address
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Address Line | 9318 CARDINAL LOOP
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98433-1262
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Country | US
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Telephone | 949-554-4299
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Fax | 949-554-4299
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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 | PT.PT.61639247
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License Number State | WA
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