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General NPI Number Information
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NPI Number | 1043833015
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Entity Type | Organization
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Legal Business Name | BEND CENTER FOR INTEGRATIVE HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 05/25/2020
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Last Update Date | 05/25/2020
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Provider Practice Location Address
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Address Line | 568 NE SAVANNAH DR STE 5
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City | BEND
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State | OR
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Zip | 97701-4866
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Country | US
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Telephone | 541-668-1881
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Fax | 888-658-6924
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Provider Business Mailing Address
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Address Line | 2660 NE HIGHWAY 20 STE 610-447
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City | BEND
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State | OR
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Zip | 97701-6402
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Country | US
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Telephone |
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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 | MS. CHRISTABEL G TABBADA
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Credential | L.AC.
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Telephone | 541-668-1881
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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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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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