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General NPI Number Information
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NPI Number | 1912440553
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Entity Type | Individual
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Provider Name | AMBER DAWN SMITH DPT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 685 SW 2ND AVE
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City | OAK HARBOR
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State | WA
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Zip | 98277-5300
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Country | US
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Telephone | 541-223-1312
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Fax |
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Provider Business Mailing Address
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Address Line | 685 SW 2ND AVE
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City | OAK HARBOR
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State | WA
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Zip | 98277-5300
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Country | US
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Telephone | 541-223-1312
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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 | 4120
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License Number State | CA
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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 | 2305213385
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 61489164
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License Number State | WA
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