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General NPI Number Information
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NPI Number | 1457863714
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Entity Type | Individual
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Provider Name | BRIANNA ELIZABETH ABERNATHY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 2895 SE POWELL VALLEY RD
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City | GRESHAM
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State | OR
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Zip | 97080-1492
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Country | US
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Telephone | 503-764-6589
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 SE HARVEY ST
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City | MILWAUKIE
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State | OR
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Zip | 97222-5817
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Country | US
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Telephone | 405-657-9599
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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 | 5318
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 127300
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 62496
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License Number State | OR
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