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General NPI Number Information
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NPI Number | 1275297202
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Entity Type | Organization
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Legal Business Name | ART OF MUSCULAR THERAPY. LLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 4001 MAIN ST STE 324
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City | VANCOUVER
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State | WA
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Zip | 98663-1888
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Country | US
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Telephone | 360-952-1912
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 NE 132ND CT
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City | VANCOUVER
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State | WA
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Zip | 98682-6926
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Country | US
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Telephone | 360-952-1912
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTOR
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Name | MRS. SARAH J LOHRMANN-PECK
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Credential | LMP
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Telephone | 360-952-1912
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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 |
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License Number State |
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