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General NPI Number Information
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NPI Number | 1881998482
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Entity Type | Organization
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Legal Business Name | EMERALD CITY PHYSICAL THERAPY SVCS, LLC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 6500 6TH AVE NW STE A
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City | SEATTLE
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State | WA
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Zip | 98117-5099
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Country | US
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Telephone | 206-755-9995
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 6TH AVE NW STE A
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City | SEATTLE
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State | WA
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Zip | 98117-5099
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Country | US
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Telephone | 206-755-9995
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | TUCKER CLAYTON SCHONBERG
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Credential | MSPT
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Telephone | 206-755-9995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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