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General NPI Number Information
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NPI Number | 1326548165
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Entity Type | Individual
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Provider Name | TAWNY KEHAULANI MUNNELL DPT
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Gender | Female
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 2012 E 11TH ST
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City | VANCOUVER
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State | WA
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Zip | 98661-4110
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Country | US
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Telephone | 808-640-4989
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 NE 70TH ST
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City | VANCOUVER
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State | WA
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Zip | 98665-0568
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Country | US
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Telephone | 808-640-4989
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 60667622
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License Number State | WA
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