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General NPI Number Information
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NPI Number | 1184199507
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Entity Type | Organization
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Legal Business Name | MCVEIGH MASSAGE
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 1907 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2421
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Country | US
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Telephone | 805-845-3473
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 NE 40TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98661-2307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID MCVEIGH
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Credential |
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Telephone | 805-845-3473
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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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