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General NPI Number Information
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NPI Number | 1033097712
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Entity Type | Organization
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Legal Business Name | HT DEEPSTRETCH STUDIO LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 55 SANTA CLARA AVE STE 165
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City | OAKLAND
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State | CA
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Zip | 94610-1333
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Country | US
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Telephone | 510-281-9189
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Fax |
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Provider Business Mailing Address
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Address Line | 55 SANTA CLARA AVE STE 165
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City | OAKLAND
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State | CA
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Zip | 94610-1333
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Country | US
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Telephone | 510-281-9189
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Fax |
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Authorized Official
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Title or Position | EXERCISE PHYSIOLOGIST
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Name | HT WU
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Credential | MS
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Telephone | 608-949-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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