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General NPI Number Information
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NPI Number | 1548511181
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Entity Type | Individual
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Provider Name | DAWN MARIE SHOEMAKER LMP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2012
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Last Update Date | 09/23/2012
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Provider Practice Location Address
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Address Line | 2501 SE MILE HILL DR A-101
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City | PORT ORCHARD
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State | WA
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Zip | 98366-3500
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Country | US
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Telephone | 360-895-4843
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 NW BUCKLIN HILL RD #384
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City | SILVERDALE
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State | WA
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Zip | 98383-8514
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Country | US
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Telephone | 360-434-6959
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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 | MA60307926
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License Number State |
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