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General NPI Number Information
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NPI Number | 1417347543
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Entity Type | Individual
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Provider Name | RACHEL HIMES LMT
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Gender | Female
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 58147 COLUMBIA RIVER HWY STE B
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City | SAINT HELENS
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State | OR
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Zip | 97051-6229
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Country | US
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Telephone | 503-438-4733
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Fax | 503-410-5351
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Provider Business Mailing Address
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Address Line | 455 N 10TH ST
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City | SAINT HELENS
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State | OR
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Zip | 97051-1310
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Country | US
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Telephone | 951-746-8339
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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 | 16058
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License Number State | OR
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