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General NPI Number Information
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NPI Number | 1770548901
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Entity Type | Individual
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Provider Name | ERIN JOY DEERFOOT PT
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 432 3RD STREET
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City | LANGLEY
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State | WA
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Zip | 98260
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Country | US
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Telephone | 360-321-4434
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Fax | 360-321-4432
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Provider Business Mailing Address
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Address Line | P.O. BOX 260
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City | LANGLEY
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State | WA
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Zip | 98260
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Country | US
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Telephone | 360-321-4434
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Fax | 360-321-4432
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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 | PT00010053
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License Number State | WA
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