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General NPI Number Information
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NPI Number | 1841643582
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Entity Type | Organization
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Legal Business Name | FOUNDATION CHILDREN'S PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 2219 MINOR AVE E UNIT 106
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City | SEATTLE
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State | WA
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Zip | 98102-3452
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Country | US
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Telephone | 206-499-7671
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Fax |
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Provider Business Mailing Address
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Address Line | 2219 MINOR AVE E UNIT 106
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City | SEATTLE
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State | WA
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Zip | 98102-3452
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Country | US
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Telephone | 206-499-7671
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | DR. ANNA ELIZABETH BROWN
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Credential | PT, DPT
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Telephone | 206-499-7671
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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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