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General NPI Number Information
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NPI Number | 1134668676
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Entity Type | Individual
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Provider Name | DEBORA BOHLMANN
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 9014 LOST ARROW ROAD
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City | YOSEMITE NTPK
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State | CA
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Zip | 95389
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Country | US
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Telephone | 916-479-2411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 947
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City | YOSEMITE NTPK
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State | CA
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Zip | 95389-0947
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Country | US
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Telephone | 916-479-2411
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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 | 62758
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License Number State | CA
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