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General NPI Number Information
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NPI Number | 1750123238
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Entity Type | Individual
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Provider Name | SAMUEL JOSHUA CAHN-TEMES LMT
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Gender | Male
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 18111 131ST ST E
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City | BONNEY LAKE
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State | WA
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Zip | 98391-7696
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Country | US
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Telephone | 310-994-4474
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Fax |
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Provider Business Mailing Address
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Address Line | 15317 MAIN ST E APT 103
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City | SUMNER
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State | WA
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Zip | 98390-2856
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Country | US
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Telephone | 310-994-4474
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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 | MA61150300
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License Number State | WA
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