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General NPI Number Information
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NPI Number | 1972230068
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Entity Type | Individual
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Provider Name | DENNIS LABAYO CHUA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 400 S 43RD ST # 50010
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City | RENTON
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State | WA
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Zip | 98055-5714
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Country | US
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Telephone | 425-690-3650
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S 43RD ST # 50010
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City | RENTON
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State | WA
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Zip | 98055-5714
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT61289180
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT61289180
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PT61289180
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License Number State | WA
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