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General NPI Number Information
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NPI Number | 1336513506
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Entity Type | Individual
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Provider Name | JEAN GEORGE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/25/2015
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 9929 SW BANK RD # 101
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City | VASHON
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State | WA
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Zip | 98070-5014
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Country | US
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Telephone | 206-567-7740
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Fax |
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Provider Business Mailing Address
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Address Line | 13104 SW 220TH ST
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City | VASHON
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State | WA
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Zip | 98070-6334
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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 |
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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 | 23083
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License Number State | MD
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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 | 61515041
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License Number State | WA
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