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General NPI Number Information
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NPI Number | 1396316402
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Entity Type | Individual
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Provider Name | MAYA LOFTON ND, LMT
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Gender | Female
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 16030 BOTHELL EVERETT HWY STE 220
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City | MILL CREEK
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State | WA
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Zip | 98012-1273
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Country | US
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Telephone | 425-286-8803
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Fax | 866-394-3445
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Provider Business Mailing Address
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Address Line | 17233 15TH AVE NE APT A427
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City | SHORELINE
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State | WA
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Zip | 98155-5155
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Country | US
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Telephone |
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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 | MA60990763
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT61569327
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License Number State | WA
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