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General NPI Number Information
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NPI Number | 1245646447
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Entity Type | Individual
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Provider Name | HOPE L. TOUCHETTE L.M.T., E.R.Y.T.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 419 PARK LN
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City | LAKE BLUFF
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State | IL
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Zip | 60044-2322
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Country | US
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Telephone | 414-916-2594
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Fax |
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Provider Business Mailing Address
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Address Line | 419 PARK LN
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City | LAKE BLUFF
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State | IL
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Zip | 60044-2322
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Country | US
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Telephone | 414-916-2594
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 17660
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227.016798
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License Number State | IL
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