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General NPI Number Information
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NPI Number | 1881348985
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Entity Type | Individual
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Provider Name | MICHAEL B ARNDT LMT
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Gender | Male
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 1412 YELM AVE E STE C101
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City | YELM
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State | WA
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Zip | 98597-8328
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Country | US
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Telephone | 360-616-2201
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Fax |
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Provider Business Mailing Address
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Address Line | 13304 KAPOWSIN HIGHLANDS DR E
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City | GRAHAM
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State | WA
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Zip | 98338-9041
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Country | US
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Telephone | 253-348-8837
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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 | M60472969
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License Number State | WA
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