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General NPI Number Information
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NPI Number | 1215886916
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Entity Type | Individual
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Provider Name | BAYLEE MARIE FUNK LMT
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Gender | Female
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1120 GRANT RD
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-5243
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Country | US
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Telephone | 509-884-7163
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Fax |
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Provider Business Mailing Address
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Address Line | 1113 CEDAR LN
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-4342
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Country | US
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Telephone | 509-669-4082
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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 | MASS.MA.70083361
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License Number State | WA
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