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General NPI Number Information
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NPI Number | 1366057358
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Entity Type | Individual
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Provider Name | STEPHANIE ELAINE COTTRELL LMT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 587 NE GREENWOOD AVE STE B
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City | BEND
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State | OR
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Zip | 97701-4609
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Country | US
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Telephone | 541-915-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 14765 S SUGAR PINE WAY
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City | LA PINE
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State | OR
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Zip | 97739-9434
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Country | US
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Telephone | 541-915-2745
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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 | 21127
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License Number State | OR
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