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General NPI Number Information
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NPI Number | 1639212376
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Entity Type | Individual
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Provider Name | CYNTHIA JANE RUNNING LMP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 321 W WASHINGTON ST SUITE334A
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City | MOUNT VERNON
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State | WA
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Zip | 98273-5920
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Country | US
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Telephone | 360-770-3488
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Fax | 360-336-2132
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Provider Business Mailing Address
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Address Line | 4859 BLANK RD
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284-8913
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Country | US
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Telephone | 360-856-1786
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Fax | 360-856-1786
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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 | MA00012476
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License Number State | WA
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