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General NPI Number Information
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NPI Number | 1174733810
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Entity Type | Organization
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Legal Business Name | 3-CITIES ON-SITE MASSAGE, INC.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3902 W CLEARWATER AVE SUITE 114
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City | KENNEWICK
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State | WA
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Zip | 99336-2678
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Country | US
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Telephone | 509-783-0924
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Fax |
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Provider Business Mailing Address
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Address Line | 3902 W CLEARWATER AVE SUITE 114
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City | KENNEWICK
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State | WA
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Zip | 99336-2676
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Country | US
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Telephone | 509-783-0924
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SUSANNE M STEEL
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Credential | L.M.P.
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Telephone | 509-783-0924
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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 | MA00009154
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License Number State | WA
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