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General NPI Number Information
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NPI Number | 1679893283
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Entity Type | Individual
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Provider Name | MEGAN MARIE LORAN L.M.P.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 13909 MERIDIAN E STE #A2
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City | PUYALLUP
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State | WA
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Zip | 98373-9180
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Country | US
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Telephone | 253-678-9112
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 8TH AVE 1-1414
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City | SEATTLE
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State | WA
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Zip | 98104-1201
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Country | US
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Telephone |
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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 | MA60161922
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License Number State | WA
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