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General NPI Number Information
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NPI Number | 1356796056
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Entity Type | Individual
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Provider Name | CHRISTI LYNN DAHL P.T.A
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Gender | Female
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Dates
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Enumeration Date | 05/01/2016
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 27217 168TH AVENUE CT E
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City | ORTING
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State | WA
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Zip | 98360-9842
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Country | US
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Telephone | 253-835-5769
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | ORTING
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State | WA
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Zip | 98360-0066
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Country | US
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Telephone | 253-261-8733
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | P160031523
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License Number State | WA
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