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General NPI Number Information
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NPI Number | 1386018471
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Entity Type | Individual
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Provider Name | LAUREN SKYE CORRIELL LMT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 07/20/2025
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Provider Practice Location Address
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Address Line | 851 COHO WAY STE 312
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City | BELLINGHAM
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State | WA
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Zip | 98225-2066
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Country | US
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Telephone | 509-431-3101
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Fax |
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Provider Business Mailing Address
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Address Line | 4655 CELIA WAY UNIT 201
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City | BELLINGHAM
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State | WA
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Zip | 98226-7486
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Country | US
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Telephone | 509-431-3101
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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 | MA60570747
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License Number State | WA
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