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General NPI Number Information
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NPI Number | 1710567649
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Entity Type | Individual
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Provider Name | JACQUELINE CAYE DAY LMT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 2111 FRONT ST NE STE 101
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City | SALEM
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State | OR
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Zip | 97301-0765
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Country | US
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Telephone | 503-779-6120
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Fax | 971-423-0371
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Provider Business Mailing Address
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Address Line | 3584 TURNER RD SE
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City | SALEM
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State | OR
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Zip | 97302-2043
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Country | US
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Telephone | 503-779-6120
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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 | 24906
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License Number State | OR
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