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General NPI Number Information
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NPI Number | 1013826445
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Entity Type | Organization
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Legal Business Name | ADVANCE HEALING THERAPY LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1420 W SHAW AVE STE A
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City | FRESNO
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State | CA
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Zip | 93711-3612
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Country | US
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Telephone | 559-521-3321
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Fax | 559-400-6671
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Provider Business Mailing Address
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Address Line | 4720 E SAN GABRIEL AVE
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City | FRESNO
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State | CA
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Zip | 93726-1838
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Country | US
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Telephone | 559-375-3308
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Fax | 559-400-6671
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Authorized Official
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Title or Position | OWNER/ MASSAGE THERAPIST
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Name | SHIRLEY L AGUILAR
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Credential | CMT
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Telephone | 559-375-3308
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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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