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General NPI Number Information
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NPI Number | 1255281853
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Entity Type | Individual
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Provider Name | MARLO C MUHAMMAD LMT
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 5424 S PUGET SOUND AVE UNIT 18
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City | TACOMA
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State | WA
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Zip | 98409-4311
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Country | US
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Telephone | 253-754-0992
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 S PINE ST UNIT 110962
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City | TACOMA
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State | WA
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Zip | 98411-0139
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Country | US
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Telephone | 253-754-0992
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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.MA70000706
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License Number State | WA
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