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General NPI Number Information
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NPI Number | 1720393622
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Entity Type | Individual
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Provider Name | MS. LEE SLAUGHTER
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Gender | Female
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 2101 NE 139TH ST STE 265
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City | VANCOUVER
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State | WA
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Zip | 98686
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Country | US
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Telephone | 360-487-2700
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Fax | 360-487-2701
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Provider Business Mailing Address
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Address Line | PO BOX 2077
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City | PORTLAND
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State | OR
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Zip | 97208-2077
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Country | US
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Telephone | 503-413-3900
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Fax | 503-413-3710
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 1198721
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License Number State | TX
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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 | PT60279447
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License Number State | WA
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