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General NPI Number Information
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NPI Number | 1831322379
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Entity Type | Individual
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Provider Name | DIANA MIRIAM COPELAND LMP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 517 NE 85TH CIR
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City | VANCOUVER
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State | WA
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Zip | 98665
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Country | US
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Telephone | 360-635-1894
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Fax |
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Provider Business Mailing Address
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Address Line | 517 NE 85TH CIR
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City | VANCOUVER
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State | WA
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Zip | 98665-8164
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Country | US
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Telephone | 360-635-1894
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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 | MA00019068
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License Number State | WA
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