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General NPI Number Information
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NPI Number | 1659793578
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Entity Type | Individual
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Provider Name | SHARON HARTLEY LMT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2014
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Last Update Date | 01/12/2014
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Provider Practice Location Address
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Address Line | 104 5TH ST
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City | HOOD RIVER
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State | OR
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Zip | 97031-2058
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Country | US
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Telephone | 541-298-2378
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Fax | 541-370-2843
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | LYLE
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State | WA
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Zip | 98635-0010
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Country | US
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Telephone | 541-490-6929
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Fax | 541-387-4326
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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 | 6814
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00011133
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License Number State | WA
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