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General NPI Number Information
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NPI Number | 1497102792
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Entity Type | Organization
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Legal Business Name | SKAGIT ISLAND REHABILITATION GROUP LLC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 32650 STATE ROUTE 20 # E110
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City | OAK HARBOR
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State | WA
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Zip | 98277-2641
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Country | US
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Telephone | 360-279-0100
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Fax | 360-279-0111
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Provider Business Mailing Address
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Address Line | 3001 R AVE UNIT 110
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City | ANACORTES
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State | WA
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Zip | 98221-4602
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Country | US
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Telephone | 360-293-2417
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Fax |
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Authorized Official
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Title or Position | OWNER, MPT
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Name | VOREE SMITH
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Credential |
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Telephone | 360-279-0100
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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 |
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License Number State |
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