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General NPI Number Information
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NPI Number | 1952524209
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Entity Type | Individual
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Provider Name | LAURIE A MOYER LMP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6217 SILENT CREEK AVE SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9481
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Country | US
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Telephone | 206-650-2241
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Fax |
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Provider Business Mailing Address
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Address Line | 7829 CENTER BLVD SE BOX 164
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9096
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Country | US
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Telephone | 206-650-2241
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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 | MA00021734
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License Number State | WA
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