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General NPI Number Information
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NPI Number | 1598987190
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Entity Type | Individual
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Provider Name | MRS. VERA G DROZHZHIN
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13713 10TH AVE E
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City | TACOMA
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State | WA
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Zip | 98445-2851
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Country | US
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Telephone | 253-318-5853
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Fax | 253-538-1759
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Provider Business Mailing Address
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Address Line | 13713 10 AVE E
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City | TACOMA
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State | WA
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Zip | 98445
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Country | US
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Telephone | 253-318-5853
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Fax | 253-538-1759
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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 | MA00016324
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License Number State | WA
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