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General NPI Number Information
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NPI Number | 1174764328
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Entity Type | Individual
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Provider Name | RUTHANNE BARNARD LMP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 1354 MULLIGAN CT SE
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City | SALEM
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State | OR
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Zip | 97306-1305
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Country | US
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Telephone | 302-503-8760
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Fax |
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Provider Business Mailing Address
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Address Line | 8221 NE HAZEL DELL AVE STE 104
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City | VANCOUVER
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State | WA
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Zip | 98665-8153
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Country | US
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Telephone | 360-573-0729
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Fax | 360-573-0737
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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 | MA# 600042858
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License Number State | WA
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