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General NPI Number Information
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NPI Number | 1629834536
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Entity Type | Individual
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Provider Name | LIAM JAMES RAMAEKERS LMT
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Gender | Male
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 2167 NW 185TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-7074
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Country | US
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Telephone | 503-389-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 257 NE EDGEWAY DR APT 303
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City | HILLSBORO
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State | OR
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Zip | 97006-3767
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Country | US
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Telephone | 971-205-9901
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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 | 28017
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License Number State | OR
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