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General NPI Number Information
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NPI Number | 1689600538
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Entity Type | Individual
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Provider Name | RUTH L MCCAULEY P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | PSHCS AMERICAN LAKE DIVISION 9600 VETERAN'S DR
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City | TACOMA
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State | WA
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Zip | 98493-0001
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Country | US
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Telephone | 253-583-1872
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Fax | 253-589-4068
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Provider Business Mailing Address
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Address Line | 8007 BAIRD RD NE
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City | OLYMPIA
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State | WA
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Zip | 98516-9358
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Country | US
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Telephone | 360-456-3609
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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 | PT00005639
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License Number State | WA
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