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General NPI Number Information
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NPI Number | 1538541750
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Entity Type | Organization
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Legal Business Name | REDMOND RIDGE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 13930 NE 178TH PL SUITE 112
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City | WOODINVILLE
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State | WA
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Zip | 98072-3571
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Country | US
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Telephone | 425-939-2194
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Fax | 425-318-1102
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Provider Business Mailing Address
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Address Line | 13930 NE 178TH PL STE 112
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City | WOODINVILLE
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State | WA
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Zip | 98072-3571
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Country | US
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Telephone | 425-939-2194
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Fax | 425-318-1102
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Authorized Official
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Title or Position | VP/AUTHORIZED OFFICIAL
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Name | RICHARD BISNTEIN
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Credential |
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Telephone | 713-297-7000
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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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