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General NPI Number Information
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NPI Number | 1073478376
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Entity Type | Individual
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Provider Name | MADILYN JEAN MEYERS LMT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 40 SW CASCADE AVE STE 40F
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City | STEVENSON
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State | WA
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Zip | 98648-6284
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Country | US
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Telephone | 509-416-6191
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | CARSON
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State | WA
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Zip | 98610-0448
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Country | US
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Telephone |
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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 | 29443
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License Number State | OR
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