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General NPI Number Information
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NPI Number | 1598979619
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Entity Type | Individual
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Provider Name | EMILY NELSON MAGERS P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 420 STILLMEADOW RD
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City | COUPEVILLE
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State | WA
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Zip | 98239-9723
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Country | US
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Telephone | 360-610-8122
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Fax |
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Provider Business Mailing Address
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Address Line | 420 STILLMEADOW RD
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City | COUPEVILLE
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State | WA
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Zip | 98239-9723
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Country | US
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Telephone | 360-610-8122
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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 | PT008125
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License Number State | WA
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