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General NPI Number Information
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NPI Number | 1811237951
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Entity Type | Organization
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Legal Business Name | DEBORAH R SAXBY
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 289 E ELLENDALE AVE STE 202
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City | DALLAS
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State | OR
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Zip | 97338-1580
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Country | US
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Telephone | 503-917-9434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 273
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City | DALLAS
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State | OR
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Zip | 97338-0273
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Country | US
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Telephone | 503-917-9434
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | MS. DEBORAH RUTH SAXBY
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Credential | LMT
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Telephone | 503-917-9434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 16827
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License Number State | OR
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