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General NPI Number Information
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NPI Number | 1992910855
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Entity Type | Individual
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Provider Name | JOANN ESTHER FLEXER LMP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22 W CENTRAL AVE
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City | SPOKANE
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State | WA
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Zip | 99205-6221
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Country | US
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Telephone | 509-482-2080
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Fax | 509-482-2042
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Provider Business Mailing Address
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Address Line | 5004 N FAIRMOUNT PL
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City | SPOKANE
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State | WA
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Zip | 99205-5934
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Country | US
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Telephone | 509-325-0154
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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 | MA00019323
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License Number State | WA
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