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General NPI Number Information
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NPI Number | 1982415162
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Entity Type | Individual
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Provider Name | EDUARDO FRANCISCO CRUZ LMT
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Gender | Male
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 13106 SE 240TH ST STE 202
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City | KENT
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State | WA
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Zip | 98031-9211
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Country | US
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Telephone | 253-630-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 17514 151ST AVE SE UNIT 1-5
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City | RENTON
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State | WA
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Zip | 98058-8783
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Country | US
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Telephone | 360-808-0046
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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 |
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License Number State |
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