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General NPI Number Information
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NPI Number | 1477845287
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Entity Type | Individual
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Provider Name | CHAIYA E SHERMAN L.AC/EAMP, LMP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 9619 FIRDALE AVE
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City | EDMONDS
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State | WA
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Zip | 98020-6519
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Country | US
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Telephone | 65-429-8522
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Fax | 206-260-3656
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Provider Business Mailing Address
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Address Line | 9619 FIRDALE AVE
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City | EDMONDS
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State | WA
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Zip | 98020-6519
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Country | US
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Telephone | 206-542-9852
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Fax | 206-260-3656
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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 | MA60206851
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC60735126
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License Number State | WA
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