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General NPI Number Information
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NPI Number | 1164594560
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Entity Type | Individual
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Provider Name | DARLENE ELIZABETH LEWIS LMT, MLD-C
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | PO BOX 317
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-0317
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Country | US
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Telephone | 360-301-6260
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Fax | 877-940-3882
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Provider Business Mailing Address
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Address Line | PO BOX 317
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-0317
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Country | US
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Telephone | 360-301-6260
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Fax | 877-940-3882
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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 | MA00007307
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License Number State | WA
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