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General NPI Number Information
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NPI Number | 1568446433
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Entity Type | Individual
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Provider Name | GALE ALLEN ANDERSON PT
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Gender | Male
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 14120 N NEWPORT HWY STE B
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City | MEAD
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State | WA
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Zip | 99021-8600
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Country | US
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Telephone | 509-468-4961
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Fax |
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Provider Business Mailing Address
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Address Line | 16083 SW UPPER BOONES FERRY RD STE 300
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City | TIGARD
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State | OR
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Zip | 97224-7736
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Country | US
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Telephone | 800-219-8835
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Fax | 503-443-1402
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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 | PT00005906
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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 | 1889
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License Number State | OR
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