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General NPI Number Information
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NPI Number | 1659674851
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Entity Type | Individual
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Provider Name | LINDSAY RAE FARISH DPT
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Gender | Female
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 35 NW 1ST STREET
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City | COUPEVILLE
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State | WA
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Zip | 98239
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Country | US
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Telephone | 360-678-1200
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Fax | 360-678-1300
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Provider Business Mailing Address
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Address Line | 4017 M AVE
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City | ANACORTES
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State | WA
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Zip | 98221-3549
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Country | US
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Telephone | 937-206-8562
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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 | PT 002870
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60530485
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License Number State | WA
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