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General NPI Number Information
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NPI Number | 1740070366
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Entity Type | Individual
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Provider Name | TARA AHLF DPT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 13112 NE 20TH ST STE 400
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City | BELLEVUE
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State | WA
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Zip | 98005-2045
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Country | US
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Telephone | 425-629-9997
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Fax |
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Provider Business Mailing Address
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Address Line | 20103 W THORPE RD
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City | MEDICAL LAKE
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State | WA
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Zip | 99022-9713
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Country | US
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Telephone |
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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 |
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License Number State |
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