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General NPI Number Information
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NPI Number | 1932244308
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Entity Type | Individual
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Provider Name | SUSAN LYNN LEFEVER PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 689-A AIRPORT CENTER ROAD
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250
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Country | US
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Telephone | 360-378-4112
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Fax | 360-378-4655
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Provider Business Mailing Address
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Address Line | PO BOX 1845
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-1845
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Country | US
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Telephone | 360-378-4112
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Fax | 360-378-4655
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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 | PT00005812
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License Number State | WA
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