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General NPI Number Information
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NPI Number | 1609524461
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Entity Type | Individual
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Provider Name | GABRIELLE PALFENIER-BROWN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2022
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 7604 NE 5TH AVE STE 109
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City | VANCOUVER
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State | WA
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Zip | 98665-8200
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Country | US
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Telephone | 360-597-7570
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Fax | 360-597-7848
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Provider Business Mailing Address
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Address Line | 431 S HARVEY AVE APT A
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City | OAK PARK
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State | IL
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Zip | 60302-4811
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Country | US
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Telephone | 630-991-7675
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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 | PT015426
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 300703
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61386162
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License Number State | WA
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