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General NPI Number Information
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NPI Number | 1447718556
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Entity Type | Organization
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Legal Business Name | NORTH PENINSULA PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 19980 10TH AVE NE STE 201
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City | POULSBO
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State | WA
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Zip | 98370-6322
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Country | US
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Telephone | 360-598-1538
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Fax | 360-598-1541
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Provider Business Mailing Address
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Address Line | 111 TUMWATER BLVD SE STE 113
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City | TUMWATER
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State | WA
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Zip | 98501-6422
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Country | US
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Telephone | 360-528-3300
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Fax | 360-528-8162
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MIEKA EISEN
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Credential |
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Telephone | 360-528-3300
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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 |
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License Number State |
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