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NPI 1821478652

NPI 1821478652 : LORINDA EMMANUEL DPT : KIRKLAND, WA

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General NPI Number Information
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    NPI Number           |    1821478652
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    Entity Type          |    Individual 
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    Provider Name        |    LORINDA EMMANUEL DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2015
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    Last Update Date     |    08/29/2022
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Provider Practice Location Address
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    Address Line         |    13320 NE 137TH PL 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98034-5514
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    Country              |    US
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    Telephone            |    909-496-5880
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13320 NE 137TH PL 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98034-5514
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    Country              |    US
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    Telephone            |    909-496-5880
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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       |    25496
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2305204930
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    License Number State |    VA
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