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General NPI Number Information
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NPI Number | 1538375662
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Entity Type | Individual
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Provider Name | TERI TAMAS LMP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 826 6TH ST S STE. 100
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City | KIRKLAND
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State | WA
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Zip | 98033-6714
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Country | US
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Telephone | 206-240-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 517 KIRKLAND WAY
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City | KIRKLAND
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State | WA
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Zip | 98033-6219
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Country | US
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Telephone | 425-822-6433
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Fax | 425-827-5462
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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 | MA00005353
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License Number State | WA
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