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General NPI Number Information
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NPI Number | 1992185359
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Entity Type | Individual
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Provider Name | EMILY ANN POMEROY LMT
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Gender |
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 628 NW YORK DR STE 205
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City | BEND
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State | OR
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Zip | 97703-1572
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Country | US
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Telephone | 541-728-3911
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Fax |
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Provider Business Mailing Address
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Address Line | 2042 NW HARRIMAN ST
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City | BEND
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State | OR
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Zip | 97703-1317
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Country | US
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Telephone | 360-520-0199
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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 | LMT-27040
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License Number State | OR
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