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General NPI Number Information
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NPI Number | 1871828673
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Entity Type | Individual
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Provider Name | AMBER FAUBION L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 10/12/2009
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Provider Practice Location Address
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Address Line | 1360 N LOUISIANA ST SUITE D
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City | KENNEWICK
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State | WA
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Zip | 99336-7171
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Country | US
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Telephone | 509-735-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 RIVERSIDE DR
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City | WEST RICHLAND
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State | WA
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Zip | 99353-5243
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Country | US
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Telephone | 509-554-1236
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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 | MA00016773
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License Number State | WA
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