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General NPI Number Information
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NPI Number | 1386983443
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Entity Type | Organization
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Legal Business Name | FAIZ HEALING DESIGNS LLC
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Dates
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Enumeration Date | 02/10/2013
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Last Update Date | 03/26/2022
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Provider Practice Location Address
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Address Line | 39085 PIONEER BLVD
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City | SANDY
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State | OR
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Zip | 97055-8062
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Country | US
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Telephone | 503-936-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 40171 SE KITZMILLER RD
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City | EAGLE CREEK
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State | OR
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Zip | 97022-8636
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Country | US
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Telephone | 503-936-0036
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | JULIE J HIGHTMAN
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Credential | LAC, LMT
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Telephone | 503-936-0036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 13100
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 164895
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License Number State | OR
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