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General NPI Number Information
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NPI Number | 1184449688
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Entity Type | Individual
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Provider Name | ALAINE LITTLE LMT
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 16135 SW RAILROAD ST
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City | SHERWOOD
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State | OR
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Zip | 97140-9090
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Country | US
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Telephone | 503-516-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 13375 SW BEDFORD ST
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City | KING CITY
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State | OR
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Zip | 97224-1827
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Country | US
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Telephone | 541-979-4492
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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 | 28080
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License Number State | OR
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