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General NPI Number Information
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NPI Number | 1629560859
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Entity Type | Individual
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Provider Name | DANISE AUBREY DLOUHY DPT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 5465 SW WESTERN AVE STE H
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City | BEAVERTON
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State | OR
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Zip | 97005-4179
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Country | US
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Telephone | 515-238-3110
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Fax |
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Provider Business Mailing Address
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Address Line | 8358 SW DEEANN CT
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City | TIGARD
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State | OR
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Zip | 97224-8204
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Country | US
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Telephone | 515-238-3110
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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 |
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License Number State |
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