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NPI 1023809720

NPI 1023809720 : SARAH DENISE WELLS CMT : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1023809720
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH DENISE WELLS CMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/14/2025
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    3900 TRUXTUN AVE 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-0600
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    Country              |    US
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    Telephone            |    661-322-6021
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2026 E ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-4223
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    Country              |    US
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    Telephone            |    916-495-1817
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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       |    82063
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    License Number State |    CA
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