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General NPI Number Information
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NPI Number | 1730423104
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Entity Type | Individual
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Provider Name | MRS. LAURA MCDONALD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 7010 WOODLAWN AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-5433
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Country | US
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Telephone | 206-517-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 3019 65TH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98116-2603
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Country | US
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Telephone | 206-678-9433
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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 | 60307601
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License Number State | WA
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