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General NPI Number Information
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NPI Number | 1558181933
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Entity Type | Individual
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Provider Name | JAHMAL E FLEMING
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Gender | Male
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 15610 SE 272ND ST STE A-106
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City | COVINGTON
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State | WA
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Zip | 98042-4416
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Country | US
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Telephone | 253-638-2424
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Fax | 253-639-5115
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Provider Business Mailing Address
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Address Line | 1438 S MILDRED ST APT 4602
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City | TACOMA
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State | WA
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Zip | 98465-1947
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Country | US
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Telephone | 580-514-4114
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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 |
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License Number State |
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