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General NPI Number Information
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NPI Number | 1023631512
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Entity Type | Organization
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Legal Business Name | XEN INTEGRATED THERAPY, LLC
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 7467 N ORACLE RD STE 101
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City | ORO VALLEY
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State | AZ
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Zip | 85704-6574
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Country | US
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Telephone | 520-820-7524
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Fax |
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Provider Business Mailing Address
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Address Line | 8760 N NEWPORT PL
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City | ORO VALLEY
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State | AZ
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Zip | 85704-6626
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Country | US
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Telephone | 520-820-7524
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Fax |
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Authorized Official
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Title or Position | LMT
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Name | XENIA ARIAS
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Credential | LMT
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Telephone | 520-820-7524
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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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