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General NPI Number Information
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NPI Number | 1336393545
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Entity Type | Individual
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Provider Name | KERI SELLS LMT
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Gender | Female
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 760 SW MADISON AVE STE 108
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City | CORVALLIS
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State | OR
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Zip | 97333-4591
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Country | US
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Telephone | 541-286-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 3004 23RD AVE NW
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City | ALBANY
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State | OR
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Zip | 97321-6510
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Country | US
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Telephone | 352-278-3185
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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 | 18664
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License Number State | OR
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