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General NPI Number Information
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NPI Number | 1497148761
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Entity Type | Individual
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Provider Name | JAYLA ANN MUHLHAUSER LMP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 302 SOUTH FOURTH STREET
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City | SATSOP
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State | WA
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Zip | 98583-9900
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Country | US
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Telephone | 360-300-7184
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Fax | 360-861-8095
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Provider Business Mailing Address
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Address Line | 428 E ELMA AVE
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City | MONTESANO
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State | WA
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Zip | 98563-3826
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Country | US
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Telephone | 360-300-7184
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Fax | 360-861-8095
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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 | MA60543393
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License Number State | WA
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