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NPI 1326026758

NPI 1326026758 : JEFFREY DANIEL COX PT, DPT, OCS : WEST LINN, OR

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General NPI Number Information
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    NPI Number           |    1326026758
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY DANIEL COX PT, DPT, OCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/05/2006
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    Last Update Date     |    05/13/2024
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Provider Practice Location Address
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    Address Line         |    1554 GARDEN ST STE 103 
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    City                 |    WEST LINN
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    State                |    OR
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    Zip                  |    97068-3278
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    Country              |    US
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    Telephone            |    503-723-0347
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    Fax                  |    503-655-9305
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Provider Business Mailing Address
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    Address Line         |    1905 SE 192ND AVE STE 109 
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    City                 |    CAMAS
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    State                |    WA
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    Zip                  |    98607-7415
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    Country              |    US
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    Telephone            |    360-210-5440
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    Fax                  |    602-107-7313
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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       |    8230
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    License Number State |    CO
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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       |    OR4764
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    License Number State |    OR
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