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General NPI Number Information
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NPI Number | 1063818839
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Entity Type | Individual
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Provider Name | JOAN V SANDS LMT, LMP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 2250 NW FLANDERS ST STE 304
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City | PORTLAND
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State | OR
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Zip | 97210-5411
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Country | US
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Telephone | 503-919-0311
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 SE LAVA DR APT 21
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City | MILWAUKIE
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State | OR
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Zip | 97222-3401
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Country | US
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Telephone | 503-919-0311
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 8301
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00018818
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAT-17507
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7879
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License Number State | OR
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