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General NPI Number Information
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NPI Number | 1144652926
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Entity Type | Individual
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Provider Name | KAYLIN ANNE WHITLAM L.M.P
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 113 N. SAUNDERS STREET
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City | CHELAN
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State | WA
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Zip | 98816
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Country | US
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Telephone | 509-682-1161
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1472
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City | CHELAN
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State | WA
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Zip | 98816-1472
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Country | US
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Telephone | 509-885-7707
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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 | MA60389707
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License Number State | WA
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