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General NPI Number Information
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NPI Number | 1992078646
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Entity Type | Organization
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Legal Business Name | IN PHYSICAL THERAPY P.S., INC.
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 3417 EVANSTON AVE N #414
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City | SEATTLE
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State | WA
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Zip | 98103-8626
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Country | US
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Telephone | 206-930-7882
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Fax | 855-674-1748
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Provider Business Mailing Address
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Address Line | 3417 EVANSTON AVE N #414
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City | SEATTLE
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State | WA
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Zip | 98103-8626
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Country | US
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Telephone | 206-930-7882
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TERI S CAMPBELL
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Credential | PT
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Telephone | 206-930-7882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT00008123
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License Number State | WA
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