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General NPI Number Information
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NPI Number | 1992405831
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Entity Type | Organization
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Legal Business Name | REALIGN SPINE, PLLC
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 624 W HASTINGS RD STE 10
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City | SPOKANE
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State | WA
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Zip | 99218-2877
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Country | US
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Telephone | 509-295-4417
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Fax | 509-606-0413
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Provider Business Mailing Address
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Address Line | 508 E HALF MOON RD
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City | COLBERT
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State | WA
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Zip | 99005-9734
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Country | US
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Telephone | 509-295-4417
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Fax | 509-606-0413
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL ERB
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Credential | PT, DPT
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Telephone | 509-295-4417
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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 |
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License Number State |
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