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General NPI Number Information
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NPI Number | 1750842639
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Entity Type | Individual
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Provider Name | CHRISTINA N DAVIS LMP
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 7621 AURORA AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-4749
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Country | US
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Telephone | 206-588-1061
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Fax | 206-297-6118
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Provider Business Mailing Address
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Address Line | 12416 94TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-2765
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Country | US
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Telephone | 520-838-1600
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Fax | 206-297-6118
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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 | MA60944493
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License Number State | WA
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