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General NPI Number Information
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NPI Number | 1912534801
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Entity Type | Organization
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Legal Business Name | AGAPE PHYSICAL THERAPY AND WELLNESS, PLLC
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 2228 70TH AVE W APT 3
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-7628
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Country | US
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Telephone | 253-245-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 2228 70TH AVE W APT 3
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-7628
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | LINDSEY KIRBY
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Credential | DPT
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Telephone | 253-245-3151
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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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