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General NPI Number Information
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NPI Number | 1083949051
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Entity Type | Organization
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Legal Business Name | HEALING ARTS SPA, INC.
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 5930 SUNBURST LN
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City | CASHMERE
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State | WA
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Zip | 98815-9555
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Country | US
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Telephone | 509-782-0000
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Fax | 509-782-1427
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Provider Business Mailing Address
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Address Line | 5930 SUNBURST LN
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City | CASHMERE
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State | WA
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Zip | 98815-9555
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Country | US
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Telephone | 509-782-0000
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Fax | 509-782-1427
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA CARLSON
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Credential | LMP
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Telephone | 509-782-0000
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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 | MA00024063
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License Number State | WA
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