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General NPI Number Information
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NPI Number | 1932090230
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Entity Type | Organization
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Legal Business Name | A PLACE FOR HEALING
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 4916 NE ST JOHNS RD
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City | VANCOUVER
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State | WA
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Zip | 98661-2547
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Country | US
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Telephone | 360-953-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 5304 NE 133RD ST
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City | VANCOUVER
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State | WA
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Zip | 98686-4916
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Country | US
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Telephone | 360-953-4244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAVONNE L BAILEY
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Credential | LMT
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Telephone | 360-953-4244
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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 |
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License Number State |
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