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General NPI Number Information
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NPI Number | 1679052930
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Entity Type | Individual
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Provider Name | DARYL B EWING DPT
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Gender | Male
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 7305 SE CIRCUIT DR STE 140
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City | HILLSBORO
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State | OR
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Zip | 97123-1961
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Country | US
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Telephone | 971-501-4905
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Fax | 503-215-0583
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Provider Business Mailing Address
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Address Line | 7305 SE CIRCUIT DR STE 140
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City | HILLSBORO
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State | OR
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Zip | 97123-1961
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Country | US
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Telephone | 971-504-4905
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Fax | 503-215-0583
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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 | 60834
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License Number State | OR
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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 | 60834
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License Number State | OR
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