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General NPI Number Information
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NPI Number | 1033027289
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Entity Type | Organization
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Legal Business Name | MARIPOSA MASSAGE LLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 12014 SE MILL PLAIN BLVD STE 100
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City | VANCOUVER
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State | WA
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Zip | 98684-4043
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Country | US
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Telephone | 360-513-3853
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 NE 112TH AVE APT C29
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City | VANCOUVER
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State | WA
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Zip | 98684-4205
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Country | US
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Telephone | 360-513-3853
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | MS. ALYSA ALEXJANDRA CHURAPE
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Credential | MA61616873
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Telephone | 360-513-3853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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