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General NPI Number Information
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NPI Number | 1376819615
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH TARLETON LMT
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Gender | Female
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 45319 NW HARTWICK RD
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City | BANKS
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State | OR
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Zip | 97106-8854
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Country | US
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Telephone | 206-856-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 22115 NW IMBRIE DR # 298
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City | HILLSBORO
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State | OR
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Zip | 97124-6988
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Country | US
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Telephone | 206-856-8845
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | LMT #18859
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License Number State | OR
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