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General NPI Number Information
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NPI Number | 1356410054
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Entity Type | Organization
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Legal Business Name | GENTLE STEPS CHILDREN'S THERAPY CENTER
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 403 SW DENNIS AVE
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City | HILLSBORO
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State | OR
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Zip | 97123-3928
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Country | US
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Telephone | 503-640-3803
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Fax | 503-640-3805
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Provider Business Mailing Address
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Address Line | PO BOX 1568
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City | HILLSBORO
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State | OR
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Zip | 97123-1568
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Country | US
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Telephone | 503-640-3803
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Fax | 503-640-3805
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Authorized Official
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Title or Position | BILLING
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Name | MRS. TRISH RAE SMITH
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Credential |
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Telephone | 503-640-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 006341
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License Number State | OR
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