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General NPI Number Information
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NPI Number | 1245030881
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Entity Type | Organization
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Legal Business Name | MYOLIFE BODYWORK & MASSAGE, PLLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 3305 MAIN ST STE 107
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City | VANCOUVER
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State | WA
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Zip | 98663-2234
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Country | US
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Telephone | 360-798-6204
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Fax |
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Provider Business Mailing Address
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Address Line | 8607 NE 161ST AVE
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City | VANCOUVER
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State | WA
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Zip | 98682-3480
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Country | US
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Telephone | 360-798-6204
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | ANDRIK KETERI
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Credential | LMT
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Telephone | 360-798-6204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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