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General NPI Number Information
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NPI Number | 1699571059
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Entity Type | Individual
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Provider Name | VICTORIA LEE PENNINGTON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 23515 NE NOVELTY HILL RD STE B213
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City | REDMOND
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State | WA
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Zip | 98053-2072
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Country | US
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Telephone | 425-868-5260
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Fax | 425-868-8604
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Provider Business Mailing Address
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Address Line | 23515 NE NOVELTY HILL RD STE B213
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City | REDMOND
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State | WA
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Zip | 98053-2072
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Country | US
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Telephone | 425-868-5260
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Fax | 425-868-8604
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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 | PTL.0020285
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License Number State | CO
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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 | CPO42106T
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License Number State | WA
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