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General NPI Number Information
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NPI Number | 1386978948
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Entity Type | Individual
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Provider Name | MICHAEL J. LOFORTI MPT
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Gender | Male
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 9505 S STEELE ST
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City | TACOMA
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State | WA
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Zip | 98444-1858
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Country | US
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Telephone | 253-770-1807
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Fax | 253-770-1985
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Provider Business Mailing Address
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Address Line | 4040 ORCHARD ST W SUITE 100
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City | FIRCREST
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State | WA
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Zip | 98466-6606
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Country | US
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Telephone | 253-564-1560
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Fax | 253-564-4449
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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 | PT60113876
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT60113876
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License Number State | WA
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