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General NPI Number Information
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NPI Number | 1932348653
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Entity Type | Individual
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Provider Name | ELIZABETH C HANSEN PT
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Gender | Female
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 692 SUGAR HILL RD
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City | CHIMACUM
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State | WA
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Zip | 98325-7732
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Country | US
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Telephone | 360-774-0676
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 327
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City | CHIMACUM
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State | WA
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Zip | 98325-0327
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Country | US
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Telephone | 360-774-0676
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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 | 1073
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License Number State | HI
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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 | 5904
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License Number State | OR
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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 | 2489
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 60102251
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License Number State | WA
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