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General NPI Number Information
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NPI Number | 1063028280
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Entity Type | Individual
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Provider Name | INEZ BURTON MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 1701 FAIRWAY DR STE 3B
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City | ALVIN
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State | TX
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Zip | 77511-4678
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Country | US
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Telephone | 281-533-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 COUNTY ROAD 94 APT 10105
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City | MANVEL
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State | TX
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Zip | 77578-2973
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Country | US
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Telephone | 832-398-3388
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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 | MT131745
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License Number State | TX
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