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General NPI Number Information
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NPI Number | 1558065938
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Entity Type | Individual
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Provider Name | TRAVIS JONES LMT
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Gender | Male
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 777 MULLIS ST SUITE D
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-9822
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Country | US
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Telephone | 808-936-5490
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 LARRABEE AVE SUITE 104 PMB 401
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City | BELLINGHAM
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State | WA
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Zip | 98225
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Country | US
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Telephone | 808-936-5490
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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 | 61061990
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License Number State | WA
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