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General NPI Number Information
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NPI Number | 1356477988
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Entity Type | Individual
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Provider Name | JESSICA CABATIT LMP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1100 19TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-3505
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Country | US
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Telephone | 206-324-0664
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Fax | 206-324-1969
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Provider Business Mailing Address
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Address Line | 22019 39TH PL S
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City | KENT
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State | WA
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Zip | 98032-8429
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Country | US
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Telephone | 425-269-5377
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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 | MA00018178
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License Number State | WA
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