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General NPI Number Information
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NPI Number | 1548740285
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Entity Type | Individual
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Provider Name | KRISTIN ANTHONY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 17692 1ST AVE S
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City | BURIEN
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State | WA
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Zip | 98148-1729
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Country | US
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Telephone | 62-410-4772
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Fax | 206-241-0538
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Provider Business Mailing Address
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Address Line | 8515 FANNIN ST STE 140
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City | HOUSTON
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State | TX
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Zip | 77054-4820
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | CP019042T
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License Number State | WA
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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 | 1306278
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License Number State | TX
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