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General NPI Number Information
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NPI Number | 1578276762
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Entity Type | Individual
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Provider Name | VICTORIA ELIZABETH GUINN DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 16621 CHAMPION WAY STE 100
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City | SANDY
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State | OR
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Zip | 97055-7258
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Country | US
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Telephone | 503-668-5321
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Fax | 503-668-9742
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Provider Business Mailing Address
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Address Line | 11900 SW GREENBURG RD
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City | TIGARD
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State | OR
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Zip | 97223-6453
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Country | US
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Telephone | 503-620-5556
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 64785
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License Number State | OR
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