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General NPI Number Information
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NPI Number | 1235479775
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Entity Type | Organization
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Legal Business Name | NEW ATTITUDE MASSAGE, LLC
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 717 E BROADWAY
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City | WILLISTON
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State | ND
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Zip | 58801-6166
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Country | US
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Telephone | 701-580-0122
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Fax |
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Provider Business Mailing Address
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Address Line | 1906 4TH AVE E
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City | WILLISTON
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State | ND
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Zip | 58801-3523
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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 | PRESIDENT
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Name | RUBYANN STIEGELMEIER
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Credential | LMT
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Telephone | 701-580-0122
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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 | 1344
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License Number State | ND
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