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General NPI Number Information
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NPI Number | 1629367487
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Entity Type | Individual
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Provider Name | ELENA O OKHAPKINA L.M.P.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 13400 NORTHUP WAY SUITE 3
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City | BELLEVUE
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State | WA
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Zip | 98005
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Country | US
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Telephone | 425-647-9786
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Fax |
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Provider Business Mailing Address
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Address Line | 14665 NE 34TH ST B-14
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City | BELLEVUE
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State | WA
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Zip | 98007-3565
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Country | US
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Telephone | 425-376-0838
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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 | MA 60025060
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License Number State | WA
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