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General NPI Number Information
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NPI Number | 1427330505
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Entity Type | Individual
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Provider Name | CINDY LYN WALSH LMP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 4703 PACIFIC HWY E
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City | FIFE
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State | WA
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Zip | 98424-2620
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Country | US
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Telephone | 253-926-8202
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Fax | 253-926-8212
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Provider Business Mailing Address
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Address Line | PO BOX 2170
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City | SUMNER
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State | WA
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Zip | 98390-0480
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Country | US
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Telephone | 253-840-2313
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Fax | 253-840-6340
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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 | MA60073099
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License Number State | WA
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