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General NPI Number Information
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NPI Number | 1972707495
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Entity Type | Individual
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Provider Name | MICHELE D DENNY P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 NE PARK PLAZA DR SUITE 246
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City | VANCOUVER
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State | WA
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Zip | 98684-5808
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Country | US
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Telephone | 180-032-1786
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1493
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City | BRUSH PRAIRIE
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State | WA
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Zip | 98606-0046
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Country | US
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Telephone | 360-241-0005
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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 | PT7612
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License Number State | WA
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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 | 3617
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License Number State | OR
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