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General NPI Number Information
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NPI Number | 1174941876
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Entity Type | Organization
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Legal Business Name | REBECCA ALLING
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 12014 SE MILL PLAIN BLVD STE 210
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City | VANCOUVER
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State | WA
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Zip | 98684-4044
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Country | US
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Telephone | 360-980-4274
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Fax |
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Provider Business Mailing Address
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Address Line | 12014 SE MILL PLAIN BLVD STE 210
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City | VANCOUVER
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State | WA
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Zip | 98684-4044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE PRACTITIONER
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Name | REBECCA L ALLING
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Credential | L.M.P.
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Telephone | 360-980-4274
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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 | MA00024095
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License Number State | WA
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