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General NPI Number Information
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NPI Number | 1720175219
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Entity Type | Organization
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Legal Business Name | WEST GARLAND PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 01/21/2008
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Provider Practice Location Address
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Address Line | 1403 W GARLAND AVE STE B
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City | SPOKANE
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State | WA
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Zip | 99205-2619
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Country | US
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Telephone | 509-325-2992
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Fax | 509-326-5112
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Provider Business Mailing Address
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Address Line | PO BOX 11009
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City | OLYMPIA
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State | WA
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Zip | 98508-1009
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Country | US
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Telephone | 360-352-2037
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Fax | 360-352-0637
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Authorized Official
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Title or Position | OWNER
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Name | DENIS DEAN HYATT
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Credential | PT
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Telephone | 360-352-2037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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