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General NPI Number Information
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NPI Number | 1154130169
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Entity Type | Individual
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Provider Name | OLIVIA ANN FREEMAN LMT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 15 E CENTRAL AVE
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City | SPOKANE
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State | WA
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Zip | 99208-1109
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Country | US
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Telephone | 509-724-0810
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Fax |
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Provider Business Mailing Address
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Address Line | 518 E 1ST ST
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City | DEER PARK
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State | WA
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Zip | 99006-5421
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Country | US
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Telephone | 509-724-0810
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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 | 63170017
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License Number State | WA
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