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General NPI Number Information
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NPI Number | 1174881353
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Entity Type | Organization
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Legal Business Name | 2 HANDS HEALING
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 10/13/2012
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Provider Practice Location Address
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Address Line | 778 N 73RD ST #2
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City | SEATTLE
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State | WA
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Zip | 98103-5150
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Country | US
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Telephone | 206-501-5646
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Fax | 206-659-0776
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Provider Business Mailing Address
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Address Line | PO BOX 2394
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City | ISSAQUAH
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State | WA
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Zip | 98027-0108
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Country | US
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Telephone | 206-501-5646
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Fax | 206-659-0776
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Authorized Official
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Title or Position | MANAGER
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Name | JOLYNN JORDAN
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Credential | LMP
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Telephone | 206-501-5646
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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 | MA00019074
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License Number State | WA
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