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General NPI Number Information
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NPI Number | 1891743472
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Entity Type | Individual
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Provider Name | FARRELL W ALLEN MSPT
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 3333 HARRISON AVE NW STE 102
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City | OLYMPIA
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State | WA
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Zip | 98502-5049
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Country | US
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Telephone | 360-292-7245
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11009 CASCADE BILLING
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City | OLYMPIA
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State | WA
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Zip | 98508-1009
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Country | US
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Telephone | 360-352-2037
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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 | PT00007829
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License Number State | WA
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