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General NPI Number Information
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NPI Number | 1255583779
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Entity Type | Individual
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Provider Name | CHRYSTEL SCHORTAU HOHMANN LMT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 425 S WHITLEY DR FRUITLAND BUSINESS CENTER SUITE 3
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City | FRUITLAND
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State | ID
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Zip | 83619-2611
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Country | US
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Telephone | 541-235-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 1164 6TH AVE N
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City | PAYETTE
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State | ID
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Zip | 83661-2480
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Country | US
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Telephone | 541-235-6061
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7726
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License Number State | OR
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