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General NPI Number Information
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NPI Number | 1811691231
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Entity Type | Individual
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Provider Name | RUTH DOLAN
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Gender | Female
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 23515 NE NOVELTY HILL RD STE B213
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City | REDMOND
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State | WA
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Zip | 98053-2072
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Country | US
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Telephone | 425-868-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 464 MC CUTCHEON RD
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City | HUDSON
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State | WI
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Zip | 54016-7556
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | CP020285T
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License Number State | WA
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