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General NPI Number Information
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NPI Number | 1114566692
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Entity Type | Individual
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Provider Name | VANESSA CATHERINE STAMPS LMT
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Gender | Female
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 6141 W AMARILLO BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1901
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Country | US
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Telephone | 806-216-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 PIKES PEAK DR
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City | AMARILLO
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State | TX
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Zip | 79110-2600
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Country | US
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Telephone | 806-335-0633
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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 | MT132390
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License Number State | TX
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