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General NPI Number Information
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NPI Number | 1619212248
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Entity Type | Organization
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Legal Business Name | NARI CLEMONS, PHYSICAL THERAPIST, LLC
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Dates
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Enumeration Date | 12/08/2012
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 560 NW 87TH TER STE 410
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City | PORTLAND
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State | OR
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Zip | 97229-6419
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Country | US
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Telephone | 971-284-2062
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Fax | 888-447-0339
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Provider Business Mailing Address
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Address Line | 560 NW 87TH TER STE 410
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City | PORTLAND
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State | OR
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Zip | 97229-6419
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Country | US
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Telephone | 317-670-6110
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Fax | 888-447-0339
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. NARI KAUR CLEMONS
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Credential | P.T.
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Telephone | 971-284-2062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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