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General NPI Number Information
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NPI Number | 1114791308
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Entity Type | Individual
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Provider Name | AMY PRICE LMT
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Gender | Female
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 228 E LAURIDSEN BLVD
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City | PORT ANGELES
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State | WA
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Zip | 98362-7821
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Country | US
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Telephone | 360-220-2296
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Fax | 360-452-8079
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Provider Business Mailing Address
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Address Line | 1024 W 6TH ST
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City | PORT ANGELES
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State | WA
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Zip | 98363-2121
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Country | US
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Telephone | 360-220-2296
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Fax | 360-452-8079
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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 | MA00013671
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License Number State | WA
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