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General NPI Number Information
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NPI Number | 1972121713
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Entity Type | Individual
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Provider Name | HAILEY CHRISTINE LOYA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 501 SE 172ND AVE
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City | VANCOUVER
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State | WA
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Zip | 98684-9542
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Country | US
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Telephone | 360-882-2778
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Fax |
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Provider Business Mailing Address
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Address Line | 6565 E ZAFFRE RIDGE ST
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City | BOISE
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State | ID
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Zip | 83716-3484
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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 |
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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 | P19580
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT-8334
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT.PT.70001700
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License Number State | WA
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