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General NPI Number Information
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NPI Number | 1730653403
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Entity Type | Organization
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Legal Business Name | FUSION PHYSICAL THERAPY AND WELLNESS, PLLC
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 05/31/2020
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Provider Practice Location Address
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Address Line | 420 STILLMEADOW RD
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City | COUPEVILLE
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State | WA
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Zip | 98239-9723
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Country | US
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Telephone | 425-610-8122
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Fax | 360-279-8221
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Provider Business Mailing Address
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Address Line | 420 STILLMEADOW RD
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City | COUPEVILLE
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State | WA
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Zip | 98239-9723
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Country | US
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Telephone | 425-610-8122
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Fax | 360-279-8221
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Authorized Official
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Title or Position | PHYSICAL THERAPISTS
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Name | EMILY N MAGERS
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Credential | PT
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Telephone | 425-610-8122
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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 |
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License Number State |
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