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General NPI Number Information
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NPI Number | 1891753323
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Entity Type | Individual
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Provider Name | AMANDA MICHELLE FERLAND MS DPT
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 10/08/2007
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Provider Practice Location Address
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Address Line | 34617 11TH PL S SUITE 201
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City | FEDERAL WAY
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State | WA
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Zip | 98003
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Country | US
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Telephone | 253-815-1117
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Fax | 253-815-1107
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Provider Business Mailing Address
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Address Line | 4040 ORCHARD ST W SUITE 100
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City | FIRCREST
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State | WA
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Zip | 98466-6606
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Country | US
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Telephone | 253-564-1560
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Fax | 253-564-4449
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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 | PT00009453
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License Number State | WA
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