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General NPI Number Information
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NPI Number | 1295334266
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Entity Type | Individual
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Provider Name | JOSEPHINE WALDNER LMT
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Gender | Female
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 6046 PORTAL WAY STE 104
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City | FERNDALE
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State | WA
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Zip | 98248-7829
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Country | US
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Telephone | 360-224-3091
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Fax |
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Provider Business Mailing Address
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Address Line | 9409 DELTA LINE RD
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City | BLAINE
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State | WA
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Zip | 98230-9766
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Country | US
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Telephone | 360-224-3091
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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 | 61100177
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License Number State | WA
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