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General NPI Number Information
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NPI Number | 1558947309
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Entity Type | Individual
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Provider Name | ELIZABETH KARAMBELAS LMT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 2306 NE GLISAN ST STE 102
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City | PORTLAND
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State | OR
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Zip | 97232-2392
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Country | US
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Telephone | 503-703-7910
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Fax |
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Provider Business Mailing Address
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Address Line | 5319 SE FLAVEL ST
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City | PORTLAND
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State | OR
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Zip | 97206-8224
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Country | US
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Telephone | 971-915-4046
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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 | 24907
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License Number State | OR
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