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General NPI Number Information
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NPI Number | 1992058978
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Entity Type | Organization
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Legal Business Name | BILLI JEAN TAUBERT
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 9901 NE 7TH AVE SUITE A-203
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City | VANCOUVER
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State | WA
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Zip | 98685-4523
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Country | US
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Telephone | 360-600-9247
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Fax | 360-574-3329
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Provider Business Mailing Address
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Address Line | 9901 NE 7TH AVE SUITE A-203
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City | VANCOUVER
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State | WA
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Zip | 98685-4523
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Country | US
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Telephone | 360-600-9247
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Fax | 360-574-3329
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Authorized Official
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Title or Position | OWNER/MASSAGE PRACTITIONER
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Name | MRS. BILLI JEAN TAUBERT
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Credential |
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Telephone | 360-600-9247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | MA60126486
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License Number State | WA
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