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General NPI Number Information
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NPI Number | 1871493551
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Entity Type | Individual
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Provider Name | EMMA HARVISON
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Gender | Female
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 598 NE E ST STE A
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City | GRANTS PASS
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State | OR
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Zip | 97526-2350
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Country | US
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Telephone | 541-819-0824
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Fax |
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Provider Business Mailing Address
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Address Line | 651 E INTERVALE RD
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City | GRANTS PASS
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State | OR
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Zip | 97527-9022
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Country | US
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Telephone | 209-552-6313
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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 | 29095
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License Number State | OR
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