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General NPI Number Information
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NPI Number | 1003413154
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Entity Type | Organization
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Legal Business Name | A TOUCH OF WELLNESS
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 13575 E 104TH AVE UNIT 650
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City | COMMERCE CITY
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State | CO
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Zip | 80022-8405
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Country | US
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Telephone | 303-288-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 13575 E 104TH AVE UNIT 650
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City | COMMERCE CITY
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State | CO
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Zip | 80022-8405
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Country | US
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Telephone | 303-288-3095
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DAVID GRAY
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Credential | MT
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Telephone | 303-288-3095
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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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