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General NPI Number Information
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NPI Number | 1174139018
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Entity Type | Individual
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Provider Name | SAMUEL KENNEDY LMT
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Gender | Male
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 2167 NW 185TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-7074
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Country | US
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Telephone | 503-386-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 1551 SW 172ND TER UNIT 403
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City | BEAVERTON
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State | OR
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Zip | 97003-4266
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Country | US
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Telephone | 970-685-9515
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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 | 25995
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License Number State | OR
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