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General NPI Number Information
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NPI Number | 1598440976
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Entity Type | Individual
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Provider Name | ERIN LYNN SHIMP LMT
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Gender | Female
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 6700 SW 105TH AVE STE 215
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City | BEAVERTON
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State | OR
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Zip | 97008-8824
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Country | US
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Telephone | 971-399-0415
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Fax | 971-277-7291
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Provider Business Mailing Address
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Address Line | 24960 SW OLD HIGHWAY 99W
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City | SHERWOOD
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State | OR
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Zip | 97140-7302
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Country | US
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Telephone | 503-539-7877
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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 | 7686
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License Number State | OR
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