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General NPI Number Information
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NPI Number | 1548590227
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Entity Type | Organization
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Legal Business Name | TURNING LEAF PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/02/2010
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 9107 73RD AVENUE CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-6727
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Country | US
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Telephone | 253-514-7701
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Fax | 253-853-3987
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Provider Business Mailing Address
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Address Line | 9107 73RD AVENUE CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-6727
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Country | US
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Telephone | 253-514-7701
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Fax | 253-853-3987
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Authorized Official
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Title or Position | OWNER
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Name | MS. TRINA JAN LEAF
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Credential | P.T.
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Telephone | 253-514-7701
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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 | PT 00008055
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License Number State | WA
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