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General NPI Number Information
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NPI Number | 1033740444
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Entity Type | Organization
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Legal Business Name | J & B LLC
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 620 AUBURN WAY S STE I
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City | AUBURN
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State | WA
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Zip | 98002-6000
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Country | US
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Telephone | 253-732-9523
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Fax |
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Provider Business Mailing Address
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Address Line | 620 AUBURN WAY S
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City | AUBURN
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State | WA
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Zip | 98002-6000
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Country | US
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Telephone | 253-732-9523
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | SHAWN GRIFFIN
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Credential | CMBT
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Telephone | 253-732-9523
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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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