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General NPI Number Information
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NPI Number | 1942469739
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Entity Type | Individual
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Provider Name | JAMYNE OUDRA MAYO PT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 939 CAROLINE ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-3909
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Country | US
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Telephone | 360-417-7315
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Fax | 360-452-3531
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Provider Business Mailing Address
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Address Line | 939 CAROLINE ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-3909
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Country | US
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Telephone | 360-417-7315
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Fax | 360-452-3531
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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 |
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License Number State |
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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 | 546
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License Number State | MT
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