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General NPI Number Information
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NPI Number | 1083139273
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Entity Type | Organization
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Legal Business Name | ERICA GARFIELD
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 207 S MOLALLA AVE
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City | MOLALLA
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State | OR
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Zip | 97038-9119
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Country | US
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Telephone | 503-593-1433
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Fax |
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Provider Business Mailing Address
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Address Line | 24526 S METZLER PARK RD
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City | ESTACADA
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State | OR
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Zip | 97023-8683
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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 | LICENSED MASSAGE THERAPIST
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Name | ERICA M GARFIELD
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Credential | LMT
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Telephone | 503-593-1433
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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 | 15812
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License Number State | OR
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