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General NPI Number Information
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NPI Number | 1235687344
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Entity Type | Organization
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Legal Business Name | HANDS TO HEART THERAPEUTIC MASSAGE
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Dates
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Enumeration Date | 09/17/2016
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Last Update Date | 09/17/2016
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Provider Practice Location Address
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Address Line | 3657 S FLANDERS ST
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City | AURORA
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State | CO
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Zip | 80013-3953
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Country | US
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Telephone | 303-306-8556
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Fax |
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Provider Business Mailing Address
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Address Line | 3657 S FLANDERS ST
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City | AURORA
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State | CO
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Zip | 80013-3953
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Country | US
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Telephone | 303-306-8556
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CAROLYN J FERGUSON
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Credential | LMT
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Telephone | 303-306-8556
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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 | MT.0017166
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License Number State | CO
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