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General NPI Number Information
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NPI Number | 1548735046
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Entity Type | Organization
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Legal Business Name | RAP MANUAL THERAPY LLC
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 15455 NW GREENBRIER PKWY STE 120
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City | BEAVERTON
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State | OR
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Zip | 97006-8115
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Country | US
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Telephone | 503-987-0208
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Fax |
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Provider Business Mailing Address
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Address Line | 2373 NW 185TH AVE STE 1001
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City | HILLSBORO
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State | OR
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Zip | 97124-7076
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Country | US
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Telephone | 503-987-0208
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Fax | 971-256-9922
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Authorized Official
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Title or Position | OWNER / MASSAGE THERAPIST
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Name | MR. ALEXANDER O ZAWADZKI
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Credential | LMT
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Telephone | 503-987-0208
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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 |
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License Number State |
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