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General NPI Number Information
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NPI Number | 1396019477
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Entity Type | Individual
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Provider Name | MARIA LIZA SABAOAN GARCIA
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Gender | Female
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 2102 S 96TH ST ALL BOARD CERTIFICATION STATUS'
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City | TACOMA
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State | WA
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Zip | 98444-1753
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Country | US
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Telephone | 253-581-2514
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Fax |
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Provider Business Mailing Address
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Address Line | 10708 17TH AVE S APT L
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City | TACOMA
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State | WA
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Zip | 98444-8811
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Country | US
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Telephone | 253-579-6280
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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 | PT60003227
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License Number State | WA
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