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General NPI Number Information
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NPI Number | 1952865982
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Entity Type | Individual
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Provider Name | ERICA M MOBLEY LMT
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Gender | Female
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 4208 SW OREGON ST
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City | SEATTLE
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State | WA
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Zip | 98116-4236
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Country | US
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Telephone | 206-938-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 4435 35TH AVE SW UNIT 302
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City | SEATTLE
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State | WA
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Zip | 98126-2897
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Country | US
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Telephone | 907-359-5215
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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 | MA60925819
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License Number State | WA
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