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General NPI Number Information
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NPI Number | 1174662829
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Entity Type | Organization
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Legal Business Name | ELIZABETH'S HOLISTIC HEALTH
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12144 C ST S
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City | TACOMA
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State | WA
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Zip | 98444
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Country | US
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Telephone | 253-537-2377
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Fax | 253-537-4773
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Provider Business Mailing Address
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Address Line | 12144 C ST S
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City | TACOMA
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State | WA
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Zip | 98444
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Country | US
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Telephone | 253-537-2377
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Fax | 253-537-4773
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Authorized Official
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Title or Position | OWNSER
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Name | MS. ELIZABETH AARON JOHNSON
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Credential | LMP
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Telephone | 253-537-4773
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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 |
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License Number State |
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