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General NPI Number Information
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NPI Number | 1144197534
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Entity Type | Organization
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Legal Business Name | SAGE & SOUL MASSAGE PLLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 301 W NORTH BEND WAY STE 107
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City | NORTH BEND
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State | WA
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Zip | 98045-8163
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Country | US
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Telephone | 206-883-8348
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Fax |
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Provider Business Mailing Address
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Address Line | 3850 KLAHANIE DR SE APT 23-205
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City | SAMMAMISH
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State | WA
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Zip | 98029-7799
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Country | US
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Telephone | 206-883-8348
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Fax |
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Authorized Official
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Title or Position | OWNER/LMT
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Name | AMANDA KAY SILVERMAN
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Credential | MA00022339
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Telephone | 206-888-8348
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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 |
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License Number State |
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