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General NPI Number Information
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NPI Number | 1215522370
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Entity Type | Organization
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Legal Business Name | NEW LIFE MASSAGE AND DOULA SERVICES
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 6 1ST ST STE 12
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City | WENATCHEE
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State | WA
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Zip | 98801-2247
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Country | US
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Telephone | 509-393-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HADLEY ST NE
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-3944
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Country | US
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Telephone | 509-393-9850
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELISSA K DAVIES
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Credential | LMT
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Telephone | 509-393-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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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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