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General NPI Number Information
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NPI Number | 1063000560
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Entity Type | Individual
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Provider Name | MR. SHAWN GREGORY BARSTOW
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Gender | Male
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Dates
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Enumeration Date | 01/09/2021
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 730 22ND STREET #4
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City | SAN FRANCISCO
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State | CA
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Zip | 94107
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Country | US
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Telephone | 916-798-1746
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Fax |
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Provider Business Mailing Address
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Address Line | 1459 18TH STREET PMB 224
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City | SAN FRANCISCO
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State | CA
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Zip | 94107
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Country | US
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Telephone | 415-308-2187
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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 | 53165
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License Number State | CA
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