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General NPI Number Information
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NPI Number | 1245949841
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Entity Type | Organization
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Legal Business Name | BAPT HOLDINGS
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 2201 W WHITE OAKS DR
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City | SPRINGFIELD
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State | IL
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Zip | 62704-6498
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Country | US
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Telephone | 217-679-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 W WHITE OAKS DR
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City | SPRINGFIELD
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State | IL
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Zip | 62704-6498
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Country | US
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Telephone | 217-679-3156
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CHEYENNE MARIE SALTSGAVER
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Credential | N/A
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Telephone | 217-679-3156
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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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