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General NPI Number Information
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NPI Number | 1073051488
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Entity Type | Organization
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Legal Business Name | CASCADIA MASSAGE
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 1025 S STATE ST
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City | TACOMA
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State | WA
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Zip | 98405-3043
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Country | US
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Telephone | 206-697-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 S STATE ST
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City | TACOMA
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State | WA
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Zip | 98405-3043
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Country | US
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Telephone | 206-697-4124
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Fax |
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Authorized Official
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Title or Position | LISCENSED MASSAGE PRACTIONER
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Name | ERIN REBECCA CHAMBERLIN
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Credential |
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Telephone | 206-697-4124
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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 | 60683459
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License Number State | WA
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