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NPI 1750310819

NPI 1750310819 : PHYSIOTHERAPY ASSOCIATES INC : BEAVERTON, OR

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General NPI Number Information
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    NPI Number           |    1750310819
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHYSIOTHERAPY ASSOCIATES INC 
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Dates
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    Enumeration Date     |    07/01/2006
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    Last Update Date     |    08/24/2009
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Provider Practice Location Address
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    Address Line         |    1500 NW BETHANY BLVD SUITE 260
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97006-5208
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    Country              |    US
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    Telephone            |    503-531-4096
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    Fax                  |    503-614-0634
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Provider Business Mailing Address
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    Address Line         |    2300 COIT RD SUITE 300
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75075-3768
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    Country              |    US
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    Telephone            |    469-467-8705
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    Fax                  |    267-321-2550
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Authorized Official
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    Title or Position    |    EXECUTIVE VICE PRESIDENT
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    Name                 |     RICHARD S. BINSTEIN 
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    Credential           |    
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    Telephone            |    610-644-7824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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